| Idera Behavioral Health Pllc | |
|
3036 Larreta Grand Prairie TX 75054-6794 | |
| (817) 217-0662 | |
| Not Available |
| Full Name | Idera Behavioral Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 3036 Larreta, Grand Prairie, Texas |
| Authorized Official Name and Position | Babatunde Shittu (NURSE PRACTITIONER) |
| Authorized Official Contact | 8172170662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idera Behavioral Health Pllc 3036 Larreta Grand Prairie TX 75054-6794 Ph: (817) 217-0662 | Idera Behavioral Health Pllc 3036 Larreta Grand Prairie TX 75054-6794 Ph: (817) 217-0662 |
| NPI Number | 1053287045 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053287045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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