| Phoenix Aba Services | |
|
1540 Keller Pkwy Ste 108136 Keller TX 76248-3686 | |
| (682) 593-3182 | |
| (817) 438-1426 |
| Full Name | Phoenix Aba Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1540 Keller Pkwy Ste 108136, Keller, Texas |
| Authorized Official Name and Position | Mariah Land (OWNER) |
| Authorized Official Contact | 8179489367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Aba Services 3920 Drexmore Rd Fort Worth TX 76244-8510 Ph: (817) 948-9367 | Phoenix Aba Services 1540 Keller Pkwy Ste 108136 Keller TX 76248-3686 Ph: (682) 593-3182 |
| NPI Number | 1194472787 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194472787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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