Organization
MENS-SANA PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTSNA MUTTINENI MD (OWNER)
(817) 731-6121
Entity
Organization
Contact information
Practice address
5560 MESA SPRINGS DRIVE, FORT WORTH, TX 76123
(817) 731-6121
(817) 732-8015
Mailing address
P O BOX 93148, SOUTHLAKE, TX 76092
(817) 731-6121
(817) 732-8015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P8392
TX
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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