| Johnson-hyde Corp | |
|
275 W Campbell Rd Suite 430 Richardson TX 75080-3601 | |
| (972) 918-0170 | |
| Not Available |
| Full Name | Johnson-hyde Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 275 W Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Tammy Hyde (PARTNER) |
| Authorized Official Contact | 9729180170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson-hyde Corp Po Box 1171 Addison TX 75001-1171 Ph: (972) 918-0170 | Johnson-hyde Corp 275 W Campbell Rd Suite 430 Richardson TX 75080-3601 Ph: (972) 918-0170 |
| NPI Number | 1619138062 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619138062 | NPI | - | NPPES |
| 0076MR | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 16623 (Texas) | Primary |
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