Ebn Physician Services, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EBN PHYSICIAN SERVICES, PLLC

Practice address

700 SE Inner Loop
Georgetown, TX 78626-7700

Phone

(512) 819-9400

Fax

(512) 240-6970

NPI assigned

Jul 25, 2021

Last updated

Jul 25, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emeke B Nwabuzor, MD

Title

Director

Phone

(512) 351-8769

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1255004495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402A W PALM VALLEY BLVD # 310",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644237",
            "telephone_number": "512-351-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400",
            "fax_number": "512-240-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBN PHYSICIAN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "NWABUZOR",
        "authorized_official_first_name": "EMEKE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-351-8769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.