Organization
PLANO BEHAVIORAL HELATH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP KUMAR MD (OWNER)
(972) 849-9511
Entity
Organization
Contact information
Practice address
2301 OHIO DR STE 295, PLANO, TX 75093-3998
(972) 849-9597
Mailing address
2301 OHIO DR STE 295, PLANO, TX 75093-3998
(972) 849-9597
(972) 596-1987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56MB
BCBS
TX
Enumeration date
10/18/2021
Last updated
09/18/2024
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