| NPI | 1114789005 |
|---|---|
| Doing Business As | FORT HEALTH MEDICAL GROUP OF TEXAS |
| Entity Type | Organization |
| Authorized Contact | SABA HAQ President 949-463-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-10-10 |