VERICARE OF TEXAS, P.A.; NPI #1447201579

Contact Information

VERICARE OF TEXAS, P.A.

109 N. MCKINNEY ST
SWEENY, TX 77480-3400

Phone: 800-257-8715
Fax: 800-819-1655
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry
Psychiatric/Mental Health	363LP0808X	50	Nurse Practitioner
Psychiatric/Mental Health, Geropsychiatric	364SP0813X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for VERICARE OF TEXAS, P.A.

NPI # 1447201579

LBN Legal business name VERICARE OF TEXAS, P.A.

Authorized official MELISSA KING - (DIRECTOR, CREDENTIALING ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/13/2006

Last updated 07/10/2017 - About 9 years ago

Identifiers

TX	Medicaid	1300824-08
TX	Other	CG8005	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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