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Organization
NEXPHASE HEALTHCARE
Active
Organization
NEXPHASE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELINE N NCHE (OWNER)
(817) 500-7577
Entity
Organization
Contact information
Practice address
2401 CALLENDER RD STE 109, MANSFIELD, TX 76063-8869
(817) 500-7577
(817) 617-2379
Mailing address
2401 CALLENDER RD STE 109, MANSFIELD, TX 76063-8869
(817) 500-7577
(817) 617-2379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/16/2020
Last updated
05/13/2024
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