| Shine Medical Of Texas, P.a. | |
|
2911 Turtle Creek Blvd Ste 300 Dallas TX 75219-6243 | |
| (909) 442-0618 | |
| Not Available |
| Full Name | Shine Medical Of Texas, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2911 Turtle Creek Blvd Ste 300, Dallas, Texas |
| Authorized Official Name and Position | Katherine Cassidy (CLINICAL OPERATIONS ASSOCIATE) |
| Authorized Official Contact | 8562878167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Medical Of Texas, P.a. 122 Grand St New York NY 10013-2614 Ph: () - | Shine Medical Of Texas, P.a. 2911 Turtle Creek Blvd Ste 300 Dallas TX 75219-6243 Ph: (909) 442-0618 |
| NPI Number | 1154056695 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154056695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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