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NPI Code Detail

MEDICARE: ENTERHEALTH OUTPATIENT SERVICES

MEDICARE: ENTERHEALTH OUTPATIENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1225395395
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENTERHEALTH OUTPATIENT SERVICES
Provider Business Mailing Address
First Line : 8222 DOUGLAS AVE STE 375
Second Line :
City : DALLAS
State : TX
Zip : 75225-5973
Country : US
Telephone Number : 214-905-5090
Fax Number : 214-905-1998
Provider Business Practice Location Address
First Line : 8222 DOUGLAS AVE STE 375
Second Line :
City : DALLAS
State : TX
Zip : 75225-5973
Country : US
Telephone Number : 214-905-5090
Fax Number : 214-905-1998
Authorized Official
Title or Position : CHEIF MEDICAL STRATEGIST
Name : DR. HAROLD URSCHEL III
Credential : MD
Telephone Number : 214-905-5090
Provider Enumeration Date : 04/13/2012
Last Update Date : 04/13/2012

Similar Medicare Providers

1982563474 — ABIGAIL DAUDELIN
Practice Location Address:
8222 DOUGLAS AVE STE 375
DALLAS, TX
75225-5973
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1750080081 — EVEREST FUNCTIONAL PSYCHIATRY AND WELLNESS, PLLC
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Practice Fax:
1831992643 — DEE ANN HIGGINS LPC
Practice Location Address:
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1225268907 — EDWARD WILLIAMS CLARK M.D.
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Directions to “ENTERHEALTH OUTPATIENT SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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