Organization
TKO GROUP CORPORATION
Active
Other names
First Step Tele Psych
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITAYO OLOTEWO (PRESIDENT)
(609) 556-8805
Entity
Organization
Contact information
Practice address
7548 PRESTON RD, FRISCO, TX 75034-5683
(609) 556-8805
Mailing address
7548 PRESTON RD, STE 141 PMB 1122, FRISCO, TX 75034
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
08/19/2022
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