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400 Airport Rd Terrell TX 75160-4302 | |
| (972) 524-4159 | |
| (972) 524-1002 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 Airport Rd, Terrell, Texas |
| Authorized Official Name and Position | Erwin Hancock (CFO) |
| Authorized Official Contact | 9725244159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 747 Terrell TX 75160-0014 Ph: (972) 524-4159 | 400 Airport Rd Terrell TX 75160-4302 Ph: (972) 524-4159 |
| NPI Number | 1548657943 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548657943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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