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807 Cameron Ct Coppell TX 75019-4751 | |
| (214) 235-9716 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 807 Cameron Ct, Coppell, Texas |
| Authorized Official Name and Position | Reena Patel (DIRECTOR) |
| Authorized Official Contact | 2142359716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
807 Cameron Ct Coppell TX 75019-4751 Ph: (214) 235-9716 | 807 Cameron Ct Coppell TX 75019-4751 Ph: (214) 235-9716 |
| NPI Number | 1124848296 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124848296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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