Organization
THRIVE MIND & TMS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTH BOLARAM MD (OWNER)
(863) 214-3230
Entity
Organization
Contact information
Practice address
2405 9TH ST STE A, WICHITA FALLS, TX 76301-4060
(863) 214-3230
Mailing address
2405 9TH ST STE A, WICHITA FALLS, TX 76301-4060
(863) 214-3230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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