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General NPI Number Information
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NPI Number | 1730959818
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Entity Type | Organization
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Legal Business Name | MBO TEXAS, PLLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 271 W SOUTHLAKE BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-7049
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Country | US
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Telephone | 469-991-7647
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Fax | 682-477-3694
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Provider Business Mailing Address
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Address Line | 16 VILLAGE LN STE 200
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City | COLLEYVILLE
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State | TX
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Zip | 76034-2948
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Country | US
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Telephone | 469-991-7647
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Fax | 682-477-3694
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Authorized Official
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Title or Position | VP REV CYCLE MANAGEMENT
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Name | BYRON MCLAUGHLIN
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Credential |
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Telephone | 682-350-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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