| Enterhealth Outpatient Services | |
|
8222 Douglas Ave Suite375 Dallas TX 75225-5923 | |
| (214) 905-5090 | |
| Not Available |
| Full Name | Enterhealth Outpatient Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8222 Douglas Ave, Dallas, Texas |
| Authorized Official Name and Position | David M Kniffen (PRESIDENT) |
| Authorized Official Contact | 2149055090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterhealth Outpatient Services 8222 Douglas Ave Suite 375 Dallas TX 75225-5923 Ph: (214) 905-5090 | Enterhealth Outpatient Services 8222 Douglas Ave Suite375 Dallas TX 75225-5923 Ph: (214) 905-5090 |
| NPI Number | 1164787669 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164787669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RN 691134 (Texas) | Primary |
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