Organization
PORTAL PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DOYLE PMHNP (MEDICAL DIRECTOR)
(254) 519-1144
Entity
Organization
Contact information
Practice address
14138 S FORT HOOD ST, KILLEEN, TX 76542-4850
(254) 519-1144
(254) 519-1155
Mailing address
14138 S FORT HOOD ST, KILLEEN, TX 76542-4850
(254) 519-1144
(254) 519-1155
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649953266
NPI ENUMERATOR
TX
Enumeration date
02/15/2024
Last updated
02/15/2024
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