Organization
MINDEASE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ANNETTE FLUKER NP (OWNER/AUTHORIZED OFFICIAL)
(904) 305-9512
Entity
Organization
Contact information
Practice address
1802 MANSFIELD WEBB RD STE 106, MANSFIELD, TX 76063-7810
(682) 248-3233
(682) 248-3233
Mailing address
1802 MANSFIELD WEBB RD STE 106, MANSFIELD, TX 76063-7810
(682) 248-3233
(682) 248-3233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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