| Eating Recovery Center Of Dallas | |
|
4716 Alliance Blvd Ste 400 Plano TX 75093-5303 | |
| (877) 825-8584 | |
| Not Available |
| Full Name | Eating Recovery Center Of Dallas |
|---|---|
| Speciality | Clinic/center |
| Location | 4716 Alliance Blvd Ste 400, Plano, Texas |
| Authorized Official Name and Position | Tyler Wooten (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9724760812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Recovery Center Of Dallas Po Box 561485 Denver CO 80256-0001 Ph: (877) 825-8584 | Eating Recovery Center Of Dallas 4716 Alliance Blvd Ste 400 Plano TX 75093-5303 Ph: (877) 825-8584 |
| NPI Number | 1073064218 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073064218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L9020 (Texas) | Primary |
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