Organization
CENTRO DE MI SALUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALEJANDRO ZAVALA CERVENTES BA PSYCHOLOGY (QMHP)
(972) 529-8264
Entity
Organization
Contact information
Practice address
628 CENTRE ST, DALLAS, TX 75208-6328
(214) 941-0798
(214) 941-0408
Mailing address
535 PRESTONWOOD DR, RICHARDSON, TX 75081-6532
(972) 529-8264
(214) 941-0408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043204019
—
TX
Enumeration date
11/14/2008
Last updated
11/14/2008
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