| Canvas Outpatient, Pllc | |
|
1550 Norwood Dr Ste 313 Hurst TX 76054-3653 | |
| (817) 394-2346 | |
| (817) 986-0540 |
| Full Name | Canvas Outpatient, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1550 Norwood Dr Ste 313, Hurst, Texas |
| Authorized Official Name and Position | Ashley Stafford (OWNER/DIRECTOR) |
| Authorized Official Contact | 2146740798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Outpatient, Pllc 1550 Norwood Dr Ste 313 Hurst TX 76054-3653 Ph: (817) 394-2346 | Canvas Outpatient, Pllc 1550 Norwood Dr Ste 313 Hurst TX 76054-3653 Ph: (817) 394-2346 |
| NPI Number | 1568144723 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568144723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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