| Andre Punch | |
|
4686 Bristol Trace Trl Keller TX 76248-6947 | |
| (817) 300-1590 | |
| Not Available |
| Full Name | Andre Punch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4686 Bristol Trace Trl, Keller, Texas |
| Authorized Official Name and Position | Joe Eastham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8173001590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Punch 4686 Bristol Trace Trl Keller TX 76248-6947 Ph: (817) 300-1590 | Andre Punch 4686 Bristol Trace Trl Keller TX 76248-6947 Ph: (817) 300-1590 |
| NPI Number | 1306019468 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306019468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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