Individual
ERICK QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
108 NORTH 1ST AVE, MANSFIELD, TX 76063
(817) 592-0750
Mailing address
501 E UNIVERSITY AVE APT 813, WAXAHACHIE, TX 75165-1711
(972) 567-4670
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40316
TX
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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