Vericare of Texas, P.a.
Organization Active NPI Geriatric Psychiatry Physician · Sweeny, TX
NPI 1447201579 · NPPES record last updated Jul 10, 2017
Key facts
- NPI
- 1447201579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- Legal business name
- VERICARE OF TEXAS, P.A.
- Practice address
- 109 N. McKinney St
Sweeny, TX 77480-3400 - Phone
- (800) 257-8715
- Fax
- (800) 819-1655
- NPI assigned
- May 13, 2006
- Reactivated
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Melissa King
- Title
- Director, Credentialing Enrollment
- Phone
- (800) 370-3651
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician |
2084P0805X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | |||
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0813X |
Addresses
Primary practice location
109 N. McKinney St
Sweeny, TX 77480-3400
Mailing address
55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300824-08 | Medicaid | TX | |
| CG8005 | Other | TX | RAILROAD MEDICARE |
Other names
- VeriCare
Other providers in Sweeny, TX
- Sweeny Medical Clinic
- Sweeny Nursing & Rehabilitation LLC
- Caitlynn Todd
- Cherita Kaye Tolbert
- TX Coast Emergency Physicians
- Vericare of Texas, P.a.
- Karen S Waddell
- Alisha Way
- Mallory Danielle Weaver
All providers in Sweeny, TX · Geriatric Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.