| Lakes Regional Community Center | |
|
400 Airport Rd Terrell TX 75160-4302 | |
| (972) 524-4159 | |
| (972) 388-2009 |
| Full Name | Lakes Regional Community Center |
|---|---|
| Speciality | Community/behavioral Health |
| 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 |
|---|---|
| Lakes Regional Community Center 400 Airport Rd Terrell TX 75160-4302 Ph: (972) 524-4159 | Lakes Regional Community Center 400 Airport Rd Terrell TX 75160-4302 Ph: (972) 524-4159 |
| NPI Number | 1821204611 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821204611 | NPI | - | NPPES |
| 121988303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Lakes Regional Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Airport Rd, Terrell, TX 75160 Phone: 972-524-4159 Fax: 972-524-1002 | |
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