| Oceanrock, Llc | |
|
2655 Villa Creek Dr Ste 111 Farmers Branch TX 75234-7396 | |
| (214) 347-9995 | |
| Not Available |
| Full Name | Oceanrock, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2655 Villa Creek Dr Ste 111, Farmers Branch, Texas |
| Authorized Official Name and Position | Tahamtan Nematbakhsh (CEO) |
| Authorized Official Contact | 9493755541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanrock, Llc 1100 Quail St Ste 205 Newport Beach CA 92660-2700 Ph: (949) 979-6866 | Oceanrock, Llc 2655 Villa Creek Dr Ste 111 Farmers Branch TX 75234-7396 Ph: (214) 347-9995 |
| NPI Number | 1902670185 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902670185 | NPI | - | NPPES |
| 4933-4934 | Other | TX | TEXAS HEALTH AND HUMAN SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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