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1201 W North Carrier Pkwy Grand Prairie TX 75050-8102 | |
| (817) 807-5932 | |
| (972) 377-6091 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1201 W North Carrier Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Robert H. O'neal (EXECUTIVE DIRECTOR/ ADMINISTRATOR) |
| Authorized Official Contact | 8178075932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 Crazy Horse Trl Burleson TX 76028-7845 Ph: (817) 807-5932 | 1201 W North Carrier Pkwy Grand Prairie TX 75050-8102 Ph: (817) 807-5932 |
| NPI Number | 1851654735 |
|---|---|
| Provider Enumeration Date | 06/16/2012 |
| Last Update Date | 06/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851654735 | NPI | - | NPPES |
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