Global Brain Center Uddin Pllc | |
521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 | |
(817) 328-3000 | |
(817) 328-3333 |
Full Name | Global Brain Center Uddin Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 521 W Southlake Blvd Ste 100, Southlake, Texas |
Authorized Official Name and Position | Mohammad N Uddin (OWNER) |
Authorized Official Contact | 8173283000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Global Brain Center Uddin Pllc 521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 Ph: (817) 328-3000 | Global Brain Center Uddin Pllc 521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 Ph: (817) 328-3000 |
NPI Number | 1386188738 |
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Provider Enumeration Date | 12/05/2016 |
Last Update Date | 12/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386188738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | M8396 (Texas) | Primary |
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