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4932 Barn Owl Trl Grand Prairie TX 75052-1963 | |
| (682) 559-2160 | |
| (817) 294-9611 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4932 Barn Owl Trl, Grand Prairie, Texas |
| Authorized Official Name and Position | Christopher A Ineama (PSYCHIATRY PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6825592160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1201 N Watson Rd Ste 265 Arlington TX 76006-6286 Ph: (682) 559-2160 | 4932 Barn Owl Trl Grand Prairie TX 75052-1963 Ph: (682) 559-2160 |
| NPI Number | 1447771084 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447771084 | NPI | - | NPPES |
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