| Meditelecare Of Texas Pllc | |
|
1999 Bryan St Ste 900 Dallas TX 75201-3140 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Texas Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1999 Bryan St Ste 900, Dallas, Texas |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Texas Pllc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Texas Pllc 1999 Bryan St Ste 900 Dallas TX 75201-3140 Ph: (860) 788-6404 |
| NPI Number | 1942702238 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942702238 | NPI | - | NPPES |
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