| |
3960 Broadway Blvd Suite 120 Garland TX 75043-2593 | |
(214) 703-3317 | |
(214) 703-3948 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 3960 Broadway Blvd, Garland, Texas |
Authorized Official Name and Position | Jane Williamson (OWNER) |
Authorized Official Contact | 9729770012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4304 Lee Hutson Dr Sachse TX 75048-4278 Ph: () - | 3960 Broadway Blvd Suite 120 Garland TX 75043-2593 Ph: (214) 703-3317 |
NPI Number | 1770991275 |
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Provider Enumeration Date | 07/28/2014 |
Last Update Date | 07/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770991275 | NPI | - | NPPES |
1396840328 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 8892 (Texas) | Primary |
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