| Tulia Grove | |
|
11901 Toepperwein Rd Ste 1202 Live Oak TX 78233-3159 | |
| (210) 782-0374 | |
| Not Available |
| Full Name | Tulia Grove |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11901 Toepperwein Rd Ste 1202, Live Oak, Texas |
| Authorized Official Name and Position | Lesley Smith (OWNER) |
| Authorized Official Contact | 2107820374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulia Grove 11901 Toepperwein Rd Ste 1202 Live Oak TX 78233-3159 Ph: (210) 782-0374 | Tulia Grove 11901 Toepperwein Rd Ste 1202 Live Oak TX 78233-3159 Ph: (210) 782-0374 |
| NPI Number | 1457163420 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457163420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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