| The Neutral Zone | |
|
114 S. Old Gun Berral Lane Suite 1 The Neutral Zone Gun Berral City TX 75147 | |
| (903) 887-9663 | |
| (903) 887-9663 |
| Full Name | The Neutral Zone |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 114 S. Old Gun Berral Lane, Gun Berral City, Texas |
| Authorized Official Name and Position | Dennis Wayne Mitchell (OWNER) |
| Authorized Official Contact | 9038879663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neutral Zone 114 S Old Gun Berral Lane Suite 1 The Neutral Zone Gun Berral City TX 75147 Ph: (903) 887-9663 | The Neutral Zone 114 S. Old Gun Berral Lane Suite 1 The Neutral Zone Gun Berral City TX 75147 Ph: (903) 887-9663 |
| NPI Number | 1689799470 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689799470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |