Organization
MENTAL EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MICHAEL RATZER (OWNER)
(214) 466-7222
Entity
Organization
Contact information
Practice address
8722 GREENVILLE AVE, SUITE 102, DALLAS, TX 75243-7167
(214) 466-7222
(214) 466-7220
Mailing address
8722 GREENVILLE AVE, SUITE 102, DALLAS, TX 75243-7167
(214) 466-7222
(214) 466-7220
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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