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Organization
MAYA HEALTH SERVICES LLC
Active
Organization
MAYA HEALTH SERVICES LLC
Active
Other names
Maya Healthcare Clinic, WOMEN'S CARE OF MID-CITIES
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU UPADHYAY (OWNER)
(469) 363-1940
Entity
Organization
Contact information
Practice address
350 WESTPARK WAY STE 223, EULESS, TX 76040-3758
(817) 283-4438
(817) 283-1792
Mailing address
5407 LOWRIE RD, COLLEYVILLE, TX 76034
(469) 363-1941
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/02/2021
Last updated
08/29/2024
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