| |
4245 Kemp Blvd Ste 710 Wichita Falls TX 76308-2828 | |
(940) 692-9745 | |
(940) 692-9722 |
Full Name | |
---|---|
Speciality | Counselor - Professional |
Location | 4245 Kemp Blvd Ste 710, Wichita Falls, Texas |
Authorized Official Name and Position | Arthur J Madden (OWNER/COUNSELOR) |
Authorized Official Contact | 9406929745 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4245 Kemp Blvd Ste 710 Wichita Falls TX 76308-2828 Ph: (940) 692-9745 | 4245 Kemp Blvd Ste 710 Wichita Falls TX 76308-2828 Ph: (940) 692-9745 |
NPI Number | 1568604189 |
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Provider Enumeration Date | 03/27/2009 |
Last Update Date | 03/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568604189 | NPI | - | NPPES |
026181001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 12234 (Texas) | Primary |
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