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271 W Southlake Blvd Southlake TX 76092-7049 | |
| (469) 990-3626 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 271 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Michelle Lee Rinehart (CREDENTIALING & CONTRACTS SPECIALIS) |
| Authorized Official Contact | 6823161856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16 Village Ln Ste 200 Colleyville TX 76034-2948 Ph: (940) 300-5077 | 271 W Southlake Blvd Southlake TX 76092-7049 Ph: (469) 990-3626 |
| NPI Number | 1700656873 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700656873 | NPI | - | NPPES |
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