Mens-Sana Telepsychiatry PLLC
Psychiatry & Neurology, Psychiatry in Fort Worth, TX. Organization (NPI-2).
NPI number1033699343
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1033699343
- Entity type
- Organization (NPI-2)
- Legal business name
- Mens-Sana Telepsychiatry PLLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2018
- Last updated
- Aug 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | P8392 | TX | Yes |
Practice location
5560 Mesa Springs DrFort Worth, TX 76123-2120
Phone 817-292-4600
Mailing address
Po Box 93148Southlake, TX 76092-1148
Phone 817-292-4600
Other practice locations
12412 Timberland Blvd Ste 3
Fort Worth, TX 76244-5227
Fort Worth, TX 76244-5227
Phone 682-593-6001
6421 Camp Bowie Blvd Ste 200
Fort Worth, TX 76116-5420
Fort Worth, TX 76116-5420
Phone 817-841-8002
Authorized official
Jyotsna Muttineni
Owner
8172924600
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