Individual
MR. GOPAN PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6404 INTERNATIONAL PKWY STE 2100, PLANO, TX 75093-8228
(972) 757-4150
Mailing address
6404 INTERNATIONAL PKWY STE 2100, PLANO, TX 75093-8228
(972) 757-4150
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
704421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207163101
—
TX
01
—
812N81
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/23/2008
Last updated
02/07/2013
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