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Organization
STONEGATE BEHAVIORAL HEALTH PC
Active
Organization
STONEGATE BEHAVIORAL HEALTH PC
Active
Other names
Andre Punch
Organization subpart
No
Provider details
NPI number
Authorized official
JOE EASTHAM (EXECUTIVE DIRECTOR)
(817) 300-1590
Entity
Organization
Contact information
Practice address
4686 BRISTOL TRACE TRL, KELLER, TX 76248-6947
(817) 300-1590
Mailing address
4686 BRISTOL TRACE TRL, KELLER, TX 76248-6947
(817) 300-1590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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