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1001 Travis Ranch Blvd Ste 2 Forney TX 75126 | |
(469) 910-5902 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1001 Travis Ranch Blvd, Forney, Texas |
Authorized Official Name and Position | Micah Duke (OWNER/MANAGER) |
Authorized Official Contact | 9402065207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1009 E Interstate 30 Ste 1074 Rockwall TX 75087-4826 Ph: (940) 206-5207 | 1001 Travis Ranch Blvd Ste 2 Forney TX 75126 Ph: (469) 910-5902 |
NPI Number | 1598450694 |
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Provider Enumeration Date | 04/06/2023 |
Last Update Date | 01/04/2024 |
Certification Date | 01/03/2024 |
Identifier | Type | State | Issuer |
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1598450694 | NPI | - | NPPES |
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