| |
2741 Lake Vista Dr Lewisville TX 75067-3885 | |
(972) 420-8345 | |
(972) 420-7770 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 2741 Lake Vista Dr, Lewisville, Texas |
Authorized Official Name and Position | Tina Westbrook (LICENSURE & REMIBURSEMENT SPEC) |
Authorized Official Contact | 9724208345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2741 Lake Vista Dr Lewisville TX 75067-3885 Ph: (972) 420-8345 | 2741 Lake Vista Dr Lewisville TX 75067-3885 Ph: (972) 420-8345 |
NPI Number | 1962452060 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962452060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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