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Contact Information

AT4K TEXAS PROVIDERS PLLC
1100 S MAIN ST STE 103
GRAPEVINE, TX76051-7531
 Phone: 817-310-5510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AT4K TEXAS PROVIDERS PLLC · (Female)

NPI # 1003626581
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2025
Last updated 02/07/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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