| Risingstarhc | |
|
325 Squirebrook Dr Desoto TX 75115-2914 | |
| (469) 245-4990 | |
| Not Available |
| Full Name | Risingstarhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 325 Squirebrook Dr, Desoto, Texas |
| Authorized Official Name and Position | Tonya Roberts (MANAGER) |
| Authorized Official Contact | 4692454990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risingstarhc 325 Squirebrook Dr Desoto TX 75115-2914 Ph: (469) 245-4990 | Risingstarhc 325 Squirebrook Dr Desoto TX 75115-2914 Ph: (469) 245-4990 |
| NPI Number | 1972920072 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972920072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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