Individual
JIM HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9400 N CENTRAL EXPY, STE 904, DALLAS, TX 75231-5027
(214) 373-3607
Mailing address
9400 N CENTRAL EXPY, STE 904, DALLAS, TX 75231-5027
(214) 373-3607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-2612
TX
Other
Enumeration date
02/06/2007
Last updated
04/22/2008
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