| Pathway Healthcare- I360, Llc | |
|
6600 Lyndon B Johnson Fwy Ste 240 Dallas TX 75240-6550 | |
| (469) 480-5560 | |
| Not Available |
| Full Name | Pathway Healthcare- I360, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6600 Lyndon B Johnson Fwy Ste 240, Dallas, Texas |
| Authorized Official Name and Position | Andrew Turner (PRESIDENT) |
| Authorized Official Contact | 2052089312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Healthcare- I360, Llc 1000 Urban Center Dr Ste 600 Vestavia AL 35242-2584 Ph: (205) 208-9312 | Pathway Healthcare- I360, Llc 6600 Lyndon B Johnson Fwy Ste 240 Dallas TX 75240-6550 Ph: (469) 480-5560 |
| NPI Number | 1578333688 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578333688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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