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Organization
K-NATION GROUP
Active
Organization
K-NATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS MASTON PHD (CEO)
(512) 574-8840
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 124, DALLAS, TX 75243-5910
(512) 574-8840
Mailing address
801 SMOTHERMON FARM RD, LITTLE ELM, TX 75068-1009
(512) 574-8840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
05/22/2023
Last updated
09/05/2023
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