Organization
INTEGRIS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE KOINANGE PMHNP-BC (OWNER)
(410) 805-5825
Entity
Organization
Contact information
Practice address
1112 N FLOYD RD STE 9, RICHARDSON, TX 75080-4243
(469) 369-2673
Mailing address
1112 N FLOYD RD STE 9, RICHARDSON, TX 75080-4243
(469) 369-2673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
04/04/2025
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