| Mam Johnson County Clinic | |
|
2915 S Interstate 35 W None Burleson TX 76028-1445 | |
| (817) 447-3001 | |
| (817) 447-3299 |
| Full Name | Mam Johnson County Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2915 S Interstate 35 W, Burleson, Texas |
| Authorized Official Name and Position | Jennifer Kincaid (PRESIDENT/CEO) |
| Authorized Official Contact | 8174473001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mam Johnson County Clinic Po Box 1895 Burleson TX 76097-1895 Ph: (817) 447-3001 | Mam Johnson County Clinic 2915 S Interstate 35 W None Burleson TX 76028-1445 Ph: (817) 447-3001 |
| NPI Number | 1255741104 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255741104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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