Organization
GREAT MINDS PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETIDO UDOSEN PMHNP-BC (CEO)
(972) 565-3977
Entity
Organization
Contact information
Practice address
6160 WARREN PKWY STE 100, FRISCO, TX 75034-9415
(972) 565-3977
Mailing address
6160 WARREN PKWY STE 100, FRISCO, TX 75034-9415
(972) 565-3977
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
10/19/2023
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