Organization
PSYCH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DJILLALI BOUDJENAH MD (CEO)
(917) 336-8422
Entity
Organization
Contact information
Practice address
4425 PLANO PKWY STE 1401, CARROLLTON, TX 75010-5036
(214) 888-7711
Mailing address
PO BOX 867443, PLANO, TX 75086-7443
(214) 888-7711
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
03/16/2023
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