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1013748037
MINDFORGE PSYCHIATRY, PLLC
SOUTHLAKE, TX
NPI
1013748037
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Entity Type
Organization
Authorized Contact
BRIAN W MENDENHALL
Physician
951-796-5454
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
MINDFORGE PSYCHIATRY, PLLC
950 E HIGHWAY 114 SUITE 160
SOUTHLAKE, TX 76092
Phone number: 951-796-5464
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Mailing Address
MINDFORGE PSYCHIATRY, PLLC
950 E HIGHWAY 114 SUITE 160
SOUTHLAKE, TX 76092
Phone number: 951-796-5464
Copy
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