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Organization
MLDCJC INC
Active
Organization
MLDCJC INC
Active
Other names
MLD Mental Health Services of South Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L DANTZKER PH.D. (OWNER/CHIEF EXECUTIVE OFFICER)
(956) 358-8370
Entity
Organization
Contact information
Practice address
5415 N MCCOLL RD, MCALLEN, TX 78504-2206
(956) 358-8370
Mailing address
7500 N 21ST ST, MCALLEN, TX 78504-5649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978108
—
TX
Enumeration date
12/31/2013
Last updated
12/31/2013
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