Metroplex Medlink PA
Psychiatry & Neurology, Psychiatry in Desoto, TX. Organization (NPI-2).
NPI number1891816617
StatusActive
Last updated in NPPESMar 14, 2008
Details
- NPI
- 1891816617
- Entity type
- Organization (NPI-2)
- Legal business name
- Metroplex Medlink PA
- Organization subpart
- No
- Enumeration date
- Apr 2, 2007
- Last updated
- Mar 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | E6497 | TX | Yes |
Practice location
2000 North Old Hickory TrailDesoto, TX 75115-7809
Phone 972-223-2760
Mailing address
Po Box 7736Dallas, TX 75209-0736
Authorized official
Charles E Mathis
President
9722232760
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