Organization
COMPASSION NEUROSCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL TENNYSON TOLL PHD (EXECUTIVE DIRECTOR)
(817) 888-6974
Entity
Organization
Contact information
Practice address
771 E SOUTHLAKE BLVD STE 222, SOUTHLAKE, TX 76092-7065
(817) 888-6974
Mailing address
771 E SOUTHLAKE BLVD STE 222, SOUTHLAKE, TX 76092-7065
(817) 888-6974
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/22/2022
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