| Brent Woodall Foundation | |
|
7801 Mesquite Bend Dr Ste 105 Irving TX 75063-6043 | |
| (972) 756-9170 | |
| (214) 614-4650 |
| Full Name | Brent Woodall Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7801 Mesquite Bend Dr Ste 105, Irving, Texas |
| Authorized Official Name and Position | Carley Michele Waltenburg (DIRECTOR) |
| Authorized Official Contact | 9727569170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Woodall Foundation 7801 Mesquite Bend Dr Ste 105 Irving TX 75063-6043 Ph: (972) 756-9170 | Brent Woodall Foundation 7801 Mesquite Bend Dr Ste 105 Irving TX 75063-6043 Ph: (972) 756-9170 |
| NPI Number | 1386879526 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386879526 | NPI | - | NPPES |
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