Dose Of Changes Llc | |
6608 Overview Dr Apt 1626 Arlington TX 76017-0911 | |
(682) 712-8555 | |
Not Available |
Full Name | Dose Of Changes Llc |
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Speciality | Social Worker |
Location | 6608 Overview Dr Apt 1626, Arlington, Texas |
Authorized Official Name and Position | Crystal Valdez (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6827128555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dose Of Changes Llc 6608 Overview Dr Apt 1626 Arlington TX 76017-0911 Ph: () - | Dose Of Changes Llc 6608 Overview Dr Apt 1626 Arlington TX 76017-0911 Ph: (682) 712-8555 |
NPI Number | 1154019388 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 05/09/2023 |
Certification Date | 05/09/2023 |
Medicare PECOS PAC ID | 9931565413 |
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Medicare Enrollment ID | O20230525003049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154019388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Crystal Urias Valdez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033846233 PECOS PAC ID: 6103298666 Enrollment ID: I20230209000639 |
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