Individual
DR. MIKE TRENT ASHWORTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 991-9504
Mailing address
9524 VALLEY RANCH PKWY W, IRVING, TX 75063-4627
(214) 492-9399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31093
TX
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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