| Thrive Mind & Tms Center Llc | |
|
2405 9th St Ste A Wichita Falls TX 76301-4060 | |
| (863) 214-3230 | |
| Not Available |
| Full Name | Thrive Mind & Tms Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2405 9th St Ste A, Wichita Falls, Texas |
| Authorized Official Name and Position | Jayanth Bolaram (OWNER) |
| Authorized Official Contact | 8632143230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Mind & Tms Center Llc 2405 9th St Ste A Wichita Falls TX 76301-4060 Ph: (863) 214-3230 | Thrive Mind & Tms Center Llc 2405 9th St Ste A Wichita Falls TX 76301-4060 Ph: (863) 214-3230 |
| NPI Number | 1184346751 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Medicare PECOS PAC ID | 0345626669 |
|---|---|
| Medicare Enrollment ID | O20221010002025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184346751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jayanth Bolaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336251016 PECOS PAC ID: 1254325095 Enrollment ID: I20210915002567 |
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