# SHILOH HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shiloh Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962225847
- **Authorized official:** ZIAN T OMENE NP (OWNER)
- **Authorized official phone:** (682) 412-0131

## Contact information

- **Practice address:** 124 RIVER OAKS DR STE 120, SOUTHLAKE, TX 76092-7083
- **Practice address phone:** (682) 412-0131
- **Mailing address:** 2501 PARKVIEW DR STE 207A, FORT WORTH, TX 76102-5814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TF0000X | Family Psychologist | — | NULL | Yes |
| 103TF0000X | Family Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024