Ron R Eubanks, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

22644 Issued in TX

Practice address

17480 Dallas Pkwy
Suite 108
Dallas, TX 75287-7337

Phone

(972) 713-9098

Fax

(972) 713-9139

NPI assigned

Sep 16, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619073640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-713-9098",
            "fax_number": "972-713-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-713-9098",
            "fax_number": "972-713-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "RON",
        "middle_name": "R",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "22644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00333528-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinyere J Etufugh
• Andrew Johnson Etuk, D.C.
• Alexis Euart
• Kathryn Jean Eubank, M.D.
• Andrew William Eubanks, AA
• Eudaemonia Congenial Care LLC
• Eudaimonia Wellness, PLLC
• Jasmine Eugene, FNP-C
• Danielle Eule, PT, DPT
• Brian Christopher Eunice

• Counseling Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.