Organization
ASSURA SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KATE RICHARDS LCSW,ACP,PHD (PYSCO THERAPIST)
(972) 291-4098
Entity
Organization
Contact information
Practice address
12700 HILLCREST RD, DALLAS, TX 75230-2033
(972) 233-1010
(972) 233-1099
Mailing address
12700 HILLCREST RD, DALLAS, TX 75230-2033
(972) 233-1010
(972) 233-1099
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
08268
TX
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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