Active Minds Rx Pllc
NPI #1073207809 in Hungerford, Texas
Provider Information
- NPI Number
- 1073207809
- Entity Type
- Organization
- Organization Name
- Active Minds Rx Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 5, 2023
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 210 E LIVE OAK ST
- City
- Hungerford
- State
- Texas
- ZIP Code
- 77448-0135
- Phone
- (713) 816-5646
Authorized Official
- Name
- EDWARD JOHN KAZMIR, NP
- Title
- AUTHORIZED OFFICIAL
- Phone
- (713) 816-5646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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