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Organization

PRIVY OASIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAAKA M CASH DNP, MSN, PMHNP-BC (OWNER/CEO)
(833) 667-7924
Entity
Organization

Contact information

Practice address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092-4707
(833) 667-7924
Mailing address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092-4707
(833) 667-7924

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
799735
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114264199
NPI
TX
01
1447681465
NATIONAL PROVIDER GROUP NPI
TX
Enumeration date
12/01/2013
Last updated
02/28/2022
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