| The Magnolia Clinic, Llc | |
|
1124 Galveston Ave Ste B Fort Worth TX 76104-4878 | |
| (817) 609-2289 | |
| Not Available |
| Full Name | The Magnolia Clinic, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1124 Galveston Ave Ste B, Fort Worth, Texas |
| Authorized Official Name and Position | Jacob Wasonga (OWNER) |
| Authorized Official Contact | 8176092289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Magnolia Clinic, Llc Po Box 592732 San Antonio TX 78259-0186 Ph: (817) 609-2289 | The Magnolia Clinic, Llc 1124 Galveston Ave Ste B Fort Worth TX 76104-4878 Ph: (817) 609-2289 |
| NPI Number | 1629731302 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629731302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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