| Margenta Forums | |
|
1510 Mickey Mantle Pl Round Rock TX 78665-2452 | |
| (512) 731-9909 | |
| (877) 433-3010 |
| Full Name | Margenta Forums |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1510 Mickey Mantle Pl, Round Rock, Texas |
| Authorized Official Name and Position | Marcus H Johnson (PRESIDENT) |
| Authorized Official Contact | 5127319229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Margenta Forums 1510 Mickey Mantle Pl Round Rock TX 78665-2452 Ph: (512) 731-9909 | Margenta Forums 1510 Mickey Mantle Pl Round Rock TX 78665-2452 Ph: (512) 731-9909 |
| NPI Number | 1609197987 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609197987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Texas) | Primary |
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