| North Texas Brain And Wellness, Inc. | |
|
241 W. Southlake Blvd., Suite 140 Southlake TX 76092 | |
| (817) 580-7678 | |
| (817) 580-7891 |
| Full Name | North Texas Brain And Wellness, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 241 W. Southlake Blvd., Suite 140, Southlake, Texas |
| Authorized Official Name and Position | Laura Ashley-escoto (PRESIDENT) |
| Authorized Official Contact | 8175807678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Brain And Wellness, Inc. Po Box 470606 Fort Worth TX 76147-0606 Ph: (817) 580-7678 | North Texas Brain And Wellness, Inc. 241 W. Southlake Blvd., Suite 140 Southlake TX 76092 Ph: (817) 580-7678 |
| NPI Number | 1952958274 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 07/12/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952958274 | NPI | - | NPPES |
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