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Organization

KYLE BABICK PH.D. AND ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE BABICK PH.D. (OWNER)
(214) 559-5757
Entity
Organization

Contact information

Practice address
8340 MEADOW RD, SUITE 134, DALLAS, TX 75231-3769
(214) 559-5757
(214) 378-7009
Mailing address
8340 MEADOW RD, SUITE 134, DALLAS, TX 75231-3769
(214) 559-5757
(214) 378-7009

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23421
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A3419
MEDICARE GROUP PTAN
01
CPS23421TX
TEXAS WORKERS COMP PROVID
TX
Enumeration date
04/10/2007
Last updated
05/11/2009
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