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Organization

VERICARE, P.C.

Active
Other names
Vericare
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization

Contact information

Practice address
1150 WHITLEY RD, KELLER, TX 76248-3038
(800) 257-8715
(800) 819-1655
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136136214
TX
01
CB3582
RAILROAD MEDICARE
TX
Enumeration date
05/05/2006
Last updated
07/10/2017
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