Organization
EXECUTIVE PRODUCERS
Active
Organization
EXECUTIVE PRODUCERS
Active
Other names
Prima West
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER LOCKART PH.D. (CEO)
(972) 800-5878
Entity
Organization
Contact information
Practice address
4150 INTERNATIONAL PLZ, STE 600, FORT WORTH, TX 76109-4892
(972) 800-5878
(972) 386-8597
Mailing address
8413 PALO DURO CT, FORT WORTH, TX 76116-6842
(972) 800-5878
(972) 386-8597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34392
TX
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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