Organization
BEACON BEHAVIORAL OF TEXAS PA
Active
Parent organization
BEACON BEHAVIORAL OF TEXAS PA
Other names
Earthman / Cedar Park TMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON BEHAVIORAL OF TEXAS PA
Authorized official
KIMBERLY GLAVESKAS (CREDENTIALING SUPERVISOR)
(214) 550-7536
Entity
Organization
Contact information
Practice address
11901 W PARMER LN STE 310, CEDAR PARK, TX 78613-7654
(512) 528-9498
(512) 843-7164
Mailing address
11901 W PARMER LN STE 310, CEDAR PARK, TX 78613-7654
(512) 528-9498
(512) 843-7164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
09/27/2024
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