| Minirth Clinic Pa | |
|
1200 East Collins Blvd Suite #300 Richardson TX 75081 | |
| (972) 669-1733 | |
| (972) 669-1403 |
| Full Name | Minirth Clinic Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1200 East Collins Blvd, Richardson, Texas |
| Authorized Official Name and Position | Vickie D Gage (ADMINISTRATOR) |
| Authorized Official Contact | 9726691733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minirth Clinic Pa 1200 East Collins Blvd Suite #300 Richardson TX 75081 Ph: (972) 669-1733 | Minirth Clinic Pa 1200 East Collins Blvd Suite #300 Richardson TX 75081 Ph: (972) 669-1733 |
| NPI Number | 1205962727 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205962727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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