Organization
DENAE W RICKENBACKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENAE RICKENBACKER MD (OWNER)
(512) 690-2075
Entity
Organization
Contact information
Practice address
11901 W PARMER LN, STE 310, CEDAR PARK, TX 78613-7651
(512) 690-2075
Mailing address
11901 W PARMER LN, STE 310, CEDAR PARK, TX 78613-7651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
TX
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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