| Grand Prairie Professional Group, P. A. | |
|
1171 107th St Grand Prairie TX 75050-2502 | |
| (615) 727-8387 | |
| (615) 457-8094 |
| Full Name | Grand Prairie Professional Group, P. A. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1171 107th St, Grand Prairie, Texas |
| Authorized Official Name and Position | Mark A. Calarco (FACILITY CEO) |
| Authorized Official Contact | 6157125862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Prairie Professional Group, P. A. 200 Powell Pl Attn: Legal Department Brentwood TN 37027-7514 Ph: (615) 732-1605 | Grand Prairie Professional Group, P. A. 1171 107th St Grand Prairie TX 75050-2502 Ph: (615) 727-8387 |
| NPI Number | 1871850750 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871850750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | E1948 (Texas) | Primary |
Maedean Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2939 Cayuga Lane, Grand Prairie, TX 75054 Phone: 214-707-7748 | |
Triumph Billing Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 W Polo Rd, Grand Prairie, TX 75052 Phone: 817-987-7936 | |
Mkram, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 614 Dalworth St, Grand Prairie, TX 75050 Phone: 972-264-9111 Fax: 972-264-9120 | |
Life Revise Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 S Belt Line Rd Ste 117, Grand Prairie, TX 75051 Phone: 817-821-3690 | |
Jokat Health Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7143 Playa Norte Dr, Grand Prairie, TX 75054 Phone: 918-568-8494 | |
Luna Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 N Hwy 360 Ste 2007b, Grand Prairie, TX 75050 Phone: 469-251-0270 |