Organization
CRNAA INC
Active
Other names
MED 365
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBAS MIAN (MEDICAL DIRECTOR)
(214) 906-8899
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR STE 500, PLANO, TX 75074-8800
(214) 906-8899
(214) 613-6723
Mailing address
555 REPUBLIC DR STE 500, PLANO, TX 75074-8800
(214) 906-8899
(214) 613-6723
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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