Organization
MINDCARE ALLIANCE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMIDE REMI-JOHNSON NURSE PRACTITIONER (DIRECTOR)
(214) 444-9827
Entity
Organization
Contact information
Practice address
11615 FOREST CENTRAL DR STE 106, DALLAS, TX 75243-3829
(214) 444-9827
Mailing address
11615 FOREST CENTRAL DR STE 106, DALLAS, TX 75243-3829
(214) 444-9827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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