Organization
GERIATRIC MENTAL HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ORTEGA (ADMINISTRATOR)
(800) 746-7284
Entity
Organization
Contact information
Practice address
800 WHITLEY RD, KELLER, TX 76248-2519
(817) 379-0795
Mailing address
66 CANDLE PINE PL # 100, THE WOODLANDS, TX 77381-6436
(800) 746-7284
(936) 273-3786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125999604
—
TX
01
—
CH0648
MEDICARE RAILROAD
TX
Enumeration date
03/26/2007
Last updated
07/07/2010
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