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Contact Information

MINIRTH CLINIC PA
1200 EAST COLLINS BLVD
SUITE #300
RICHARDSON, TX75081
 Phone: 972-669-1733
 Fax: 972-669-1403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MINIRTH CLINIC PA

NPI # 1205962727
LBN Legal business name MINIRTH CLINIC PA
Authorized official VICKIE GAGE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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