| Myndfit | |
|
13423 Coram Peak St San Antonio TX 78248-1201 | |
| (210) 665-3330 | |
| Not Available |
| Full Name | Myndfit |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 13423 Coram Peak St, San Antonio, Texas |
| Authorized Official Name and Position | Carlton Thomas Fairley (OWNER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2106653330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfit 13423 Coram Peak St San Antonio TX 78248-1201 Ph: (210) 665-3330 | Myndfit 13423 Coram Peak St San Antonio TX 78248-1201 Ph: (210) 665-3330 |
| NPI Number | 1790542611 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790542611 | NPI | - | NPPES |
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