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1424 Copper Meadow Dr Mesquite TX 75149-6879 | |
| (972) 740-7445 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1424 Copper Meadow Dr, Mesquite, Texas |
| Authorized Official Name and Position | Rick J Davis (PRESIDENT & CEO) |
| Authorized Official Contact | 9727407445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1424 Copper Meadow Dr # A Mesquite TX 75149-6879 Ph: (972) 740-7445 | 1424 Copper Meadow Dr Mesquite TX 75149-6879 Ph: (972) 740-7445 |
| NPI Number | 1609363696 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609363696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Texas) | Primary |
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