Organization
MOSAIC BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY ITALIYA MD (DIRECTOR)
(469) 361-0467
Entity
Organization
Contact information
Practice address
5026 TENNYSON PKWY, PLANO, TX 75024-3360
(469) 361-0467
Mailing address
2840 LEGACY DR STE 400, FRISCO, TX 75034-6055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
01/23/2024
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