Miguel L Desocarraz in Rockport - Psychologist
Miguel L Desocarraz - NPI 1760470249
Miguel L Desocarraz is a Psychologist in Rockport, Texas. Miguel L Desocarraz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Miguel L Desocarraz is 1760470249. The last update date is 2010-07-28.
Miguel L Desocarraz's current location address is 503 Lakewood St, Rockport, Texas. You can contact this provider via phone number 3617796472 and fax number 3617291467. The mailing address for Miguel L Desocarraz is 503 Lakewood St, Rockport, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miguel L Desocarraz |
|---|---|
| Address | 503 Lakewood St, Rockport, Texas |
| Phone Number | 3617796472 |
| Fax Number | 3617291467 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1760470249 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2010-07-28 |
Provider Mailing Address Detail
| Address | 503 Lakewood St |
|---|---|
| City | Rockport |
| State | Texas (TX) |
| Post Code | 783826958 |
| Phone Number | 3617796472 |
| Fax Number | 3617291467 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 21513 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33905301 | TX | -- | |
| 00HR73 | TX | BCBS OF TX |
Post Comment/ Review Below
What is the unique identification code assigned to Miguel L Desocarraz by the Centers for Medicare & Medicaid Services?
The Miguel L Desocarraz has been issued the NPI (National Provider Identifier) 1760470249. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Miguel L Desocarraz's facilities are geographically located?
The facilities of Miguel L Desocarraz are physically situated at the following location: 503 Lakewood St, Rockport, TX, 783826958.
What is Miguel L Desocarraz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Miguel L Desocarraz's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760470249 to Miguel L Desocarraz?
The Centers for Medicare & Medicaid Services assigned the 1760470249 to Miguel L Desocarraz on 2005-10-10.
As of what date were the details pertaining to Miguel L Desocarraz last refreshed?
The information related to the Miguel L Desocarraz, including its address, specialty, and other relevant details, was last updated on 2010-07-28.