Organization · NPI-2

1 Cp Place PLLC

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Plano, TX

NPI number1134520182
StatusActive
Last updated in NPPESJan 15, 2016

Details

NPI
1134520182
Entity type
Organization (NPI-2)
Legal business name
1 Cp Place PLLC
Organization subpart
No
Enumeration date
Sep 9, 2014
Last updated
Jan 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child NeurologyM5074TXYes

Practice location

7709 San Jacinto Pl
Suite 203
Plano, TX 75024-3215

Phone 469-331-0030

Mailing address

Po Box 251665
Plano, TX 75025-1515

Phone 469-331-0030

Authorized official

Janice Elaine Brunstrom-Hernandez
Managing Member/ Director
3142233306

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