Organization
MAINSTREAM PSYCHIATRY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY ORAFUNAM (OWNER)
(346) 220-3534
Entity
Organization
Contact information
Practice address
2100 N STATE HIGHWAY 360, GRAND PRAIRIE, TX 75050-1011
(346) 220-3534
Mailing address
2603 BAXTER DR, GRAND PRAIRIE, TX 75052-7081
(346) 220-3534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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