Organization
MINDFORGE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W MENDENHALL DO (PHYSICIAN)
(951) 796-5454
Entity
Organization
Contact information
Practice address
950 E HIGHWAY 114, SUITE 160, SOUTHLAKE, TX 76092
(951) 796-5464
Mailing address
950 E HIGHWAY 114, SUITE 160, SOUTHLAKE, TX 76092
(951) 796-5464
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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