| Mark Allen Wallman, Sr. | |
|
5850 Town And Country Blvd Frisco TX 75034-6942 | |
| (214) 218-4356 | |
| Not Available |
| Full Name | Mark Allen Wallman, Sr. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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