Organization
PITTMAN PSYCHIATRY AND RECOVERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ROSS PITTMAN MD, PHD (PRESIDENT)
(682) 651-5320
Entity
Organization
Contact information
Practice address
8215 WESTCHESTER DR STE 307, DALLAS, TX 75225-6117
(682) 651-5320
(817) 225-2408
Mailing address
1000 YUKON DR, MANSFIELD, TX 76063-6348
(682) 651-5320
(817) 225-2408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
N8058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679609093
NPI OF PRACTICING PHYSICIAN
TX
Enumeration date
10/08/2012
Last updated
10/08/2012
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