| At4k Texas Providers Pllc | |
|
1100 S Main St Ste 103 Grapevine TX 76051-7531 | |
| (817) 310-5510 | |
| Not Available |
| Full Name | At4k Texas Providers Pllc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1100 S Main St Ste 103, Grapevine, Texas |
| Authorized Official Name and Position | Chris Tillotson (CEO) |
| Authorized Official Contact | 2487709929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At4k Texas Providers Pllc 112 Walnut Blvd Unit 308 Rochester MI 48307-2317 Ph: () - | At4k Texas Providers Pllc 1100 S Main St Ste 103 Grapevine TX 76051-7531 Ph: (817) 310-5510 |
| NPI Number | 1003626581 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003626581 | NPI | - | NPPES |
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