| Healthy Minds For Healthy Lives | |
|
2207 Brook Ave Ste A Wichita Falls TX 76301-6139 | |
| (940) 217-6720 | |
| Not Available |
| Full Name | Healthy Minds For Healthy Lives |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2207 Brook Ave Ste A, Wichita Falls, Texas |
| Authorized Official Name and Position | Merrill Lee Wood (OWNER) |
| Authorized Official Contact | 9402176720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds For Healthy Lives 2207 Brook Ave Ste A Wichita Falls TX 76301-6139 Ph: (940) 217-6720 | Healthy Minds For Healthy Lives 2207 Brook Ave Ste A Wichita Falls TX 76301-6139 Ph: (940) 217-6720 |
| NPI Number | 1407505035 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407505035 | NPI | - | NPPES |
| 1633747917 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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