Mark Allen Wallman, Sr. | |
5850 Town And Country Blvd Frisco TX 75034-6942 | |
(214) 218-4356 | |
Not Available |
Full Name | Mark Allen Wallman, Sr. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5850 Town And Country Blvd, Frisco, Texas |
Authorized Official Name and Position | Mark Allen Wallman (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 2142184356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark Allen Wallman, Sr. 1920 Grassmere Ln Apt 1012 Mckinney TX 75071-8534 Ph: (214) 218-4356 | Mark Allen Wallman, Sr. 5850 Town And Country Blvd Frisco TX 75034-6942 Ph: (214) 218-4356 |
NPI Number | 1013471853 |
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Provider Enumeration Date | 01/25/2019 |
Last Update Date | 01/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013471853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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