Tys Llc Dba Southwest Consulting | |
1402 Corinth St Suite 219 Dallas TX 75215-2111 | |
(469) 360-7453 | |
Not Available |
Full Name | Tys Llc Dba Southwest Consulting |
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Speciality | Community/behavioral Health |
Location | 1402 Corinth St, Dallas, Texas |
Authorized Official Name and Position | Priscilla Souza (SOLE PROPRIETOR) |
Authorized Official Contact | 4693607453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tys Llc Dba Southwest Consulting 1402 Corinth St Suite 219 Dallas TX 75215-2111 Ph: (469) 360-7453 | Tys Llc Dba Southwest Consulting 1402 Corinth St Suite 219 Dallas TX 75215-2111 Ph: (469) 360-7453 |
NPI Number | 1790026359 |
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Provider Enumeration Date | 03/07/2013 |
Last Update Date | 03/07/2013 |
Identifier | Type | State | Issuer |
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1790026359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 32008 (Texas) | Primary |
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