Organization
SHILOH HEALTHCARE
Active
Other names
Shiloh Health
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAN T OMENE NP (OWNER)
(682) 412-0131
Entity
Organization
Contact information
Practice address
124 RIVER OAKS DR STE 120, SOUTHLAKE, TX 76092-7083
(682) 412-0131
Mailing address
2501 PARKVIEW DR STE 207A, FORT WORTH, TX 76102-5814
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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