Organization
MEDHEALTH
Active
Other names
Methodist Brain and Spine Institute/Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KENYON (CREDENTIALING MANAGER)
(214) 947-4523
Entity
Organization
Contact information
Practice address
252 MATLOCK RD STE 234, MANSFIELD, TX 76063-4294
(214) 948-2076
(214) 948-9990
Mailing address
3400 W WHEATLAND RD, PAV III STE#360, DALLAS, TX 75237-4418
(214) 884-4700
(214) 884-4749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
11/19/2019
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