| Shiloh Healthcare | |
|
124 River Oaks Dr Ste 120 Southlake TX 76092-7083 | |
| (682) 412-0131 | |
| Not Available |
| Full Name | Shiloh Healthcare |
|---|---|
| Speciality | Psychologist - Family |
| Location | 124 River Oaks Dr Ste 120, Southlake, Texas |
| Authorized Official Name and Position | Zian T Omene (OWNER) |
| Authorized Official Contact | 6824120131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Healthcare 2501 Parkview Dr Ste 207a Fort Worth TX 76102-5814 Ph: () - | Shiloh Healthcare 124 River Oaks Dr Ste 120 Southlake TX 76092-7083 Ph: (682) 412-0131 |
| NPI Number | 1962225847 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962225847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
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