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Organization

EZ MIND PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN J PETER (CREDENTIALING SPECIALIST)
(530) 868-6944
Entity
Organization

Contact information

Practice address
2770 MAIN ST STE 119, FRISCO, TX 75033-4336
(972) 632-6040
Mailing address
3751 MAIN ST STE 600, THE COLONY, TX 75056-4138
(972) 632-6040

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/04/2020
Last updated
02/18/2021
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