| Mens-sana Telepsychiatry Pllc | |
|
5560 Mesa Springs Dr Fort Worth TX 76123-2120 | |
| (817) 292-4600 | |
| Not Available |
| Full Name | Mens-sana Telepsychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5560 Mesa Springs Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Jyotsna Muttineni (OWNER) |
| Authorized Official Contact | 8172924600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mens-sana Telepsychiatry Pllc Po Box 93148 Southlake TX 76092-1148 Ph: (817) 292-4600 | Mens-sana Telepsychiatry Pllc 5560 Mesa Springs Dr Fort Worth TX 76123-2120 Ph: (817) 292-4600 |
| NPI Number | 1033699343 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033699343 | NPI | - | NPPES |
| 1306106059 | Other | IND NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P8392 (Texas) | Primary |
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