| Protostar Llc | |
|
2080 N State Highway 360 Ste 230 Grand Prairie TX 75050-0900 | |
| (682) 888-1290 | |
| (940) 312-7805 |
| Full Name | Protostar Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2080 N State Highway 360 Ste 230, Grand Prairie, Texas |
| Authorized Official Name and Position | Ryan Kippes (CEO) |
| Authorized Official Contact | 2142894933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protostar Llc 2080 N State Highway 360 Ste 230 Grand Prairie TX 75050-0900 Ph: (214) 289-4933 | Protostar Llc 2080 N State Highway 360 Ste 230 Grand Prairie TX 75050-0900 Ph: (682) 888-1290 |
| NPI Number | 1689138604 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689138604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Maedean Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2939 Cayuga Lane, Grand Prairie, TX 75054 Phone: 214-707-7748 | |
Triumph Billing Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 W Polo Rd, Grand Prairie, TX 75052 Phone: 817-987-7936 | |
Life Revise Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 S Belt Line Rd Ste 117, Grand Prairie, TX 75051 Phone: 817-821-3690 | |
Idera Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3036 Larreta, Grand Prairie, TX 75054 Phone: 817-217-0662 | |
Jokat Health Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7143 Playa Norte Dr, Grand Prairie, TX 75054 Phone: 918-568-8494 | |
Zoe Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2366 Doreen St Ste B, Grand Prairie, TX 75050 Phone: 214-702-6626 | |
Luna Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 N Hwy 360 Ste 2007b, Grand Prairie, TX 75050 Phone: 469-251-0270 |