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Organization

MESA SPRINGS PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA WARREN (DIRECTOR CREDENTIALING)
(503) 371-3338
Entity
Organization

Contact information

Practice address
5560 MESA SPRINGS DR, FORT WORTH, TX 76123-2120
(817) 406-3423
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(412) 588-3546
(615) 920-8775

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/22/2017
Last updated
05/13/2025
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