| Inamorata, Llc | |
|
7700 Cody Ln Apt 1001 Sachse TX 75048-6675 | |
| (214) 399-6286 | |
| Not Available |
| Full Name | Inamorata, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7700 Cody Ln Apt 1001, Sachse, Texas |
| Authorized Official Name and Position | Ruby Johnson (OWNER) |
| Authorized Official Contact | 2143996286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inamorata, Llc 7700 Cody Ln Apt 1001 Sachse TX 75048-6675 Ph: (214) 399-6286 | Inamorata, Llc 7700 Cody Ln Apt 1001 Sachse TX 75048-6675 Ph: (214) 399-6286 |
| NPI Number | 1104224989 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104224989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39640 (Texas) | Primary |
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