Organization
MATTIES RANCH LLC
Active
Other names
Mattie's Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A. VALENTI (MANAGER)
(817) 586-8527
Entity
Organization
Contact information
Practice address
5014 OAK BEND CIRCLE, DENTON, TX 76208
(940) 383-0870
Mailing address
12217 LANGLEY HILL DR, KELLER, TX 76244
(817) 586-8527
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21805
TX
Other
Enumeration date
03/25/2015
Last updated
10/05/2015
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