Organization
EVEREST FUNCTIONAL PSYCHIATRY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVEREST GOLDSTEIN (NURSE PRACTITIONER)
(972) 839-8466
Entity
Organization
Contact information
Practice address
8222 DOUGLAS AVE STE 375, DALLAS, TX 75225-5973
(972) 839-8466
Mailing address
8222 DOUGLAS AVE STE 375, DALLAS, TX 75225-5973
(972) 839-8466
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477211332
NPI
—
Enumeration date
02/24/2023
Last updated
02/24/2023
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