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Organization

INDIGO PSYCHIATRY AND EDUCATION GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA ELLEN PUCHKORS DNP, APRN, PMHNP (MEMBER)
(972) 322-2316
Entity
Organization

Contact information

Practice address
17250 DALLAS PKWY, DALLAS, TX 75248-1136
(972) 322-2316
Mailing address
17250 DALLAS PKWY, DALLAS, TX 75248-1136
(972) 322-2316

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/10/2024
Last updated
12/10/2024
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