Organization
MEDI-PSYCH E & M, LLC
Active
Other names
Medipsych Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE M DISNARD MSN, MPH, ARNP-BC (OWNER/AUTHORIZED AGENT)
(817) 694-4978
Entity
Organization
Contact information
Practice address
3115 FORT WORTH HWY, # 200, HUDSON OAKS, TX 76087-8720
(817) 694-4978
(817) 448-9088
Mailing address
3115 FORT WORTH HWY, # 200, HUDSON OAKS, TX 76087-8720
(817) 694-4978
(817) 448-9088
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9274840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366443822
NPI INDIVIDUAL
TX
Enumeration date
03/30/2009
Last updated
11/04/2010
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