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2540 N Galloway Ave Ste 105 Mesquite TX 75150 | |
| (469) 484-5200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2540 N Galloway Ave Ste 105, Mesquite, Texas |
| Authorized Official Name and Position | Tamika Johnson (OWNER/OPERATOR) |
| Authorized Official Contact | 4694845200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
938 Marisa Ln Desoto TX 75115-3880 Ph: (469) 743-1300 | 2540 N Galloway Ave Ste 105 Mesquite TX 75150 Ph: (469) 484-5200 |
| NPI Number | 1841959236 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841959236 | NPI | - | NPPES |
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