Organization
THADDEUS OPALACH DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS G OPALACH DO (OWNER)
(817) 453-2223
Entity
Organization
Contact information
Practice address
990 N WALNUT CREEK DR, SUITE 2014, MANSFIELD, TX 76063-1580
(817) 453-2223
(817) 453-2269
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L8870
TX
Other
Enumeration date
03/18/2009
Last updated
10/15/2009
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