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82 Medical Group
Adolescent and Children Mental Health Clinic/Center in Sheppard Afb, Texas
NPI 1073593570

82 Medical Group is an Adolescent and Children Mental Health Clinic/Center based in Sheppard Afb, TX and is specialized in Adolescent and Children Mental Health. 82 Medical Group practices in Sheppard Afb, TX. The NPI Number for 82 Medical Group is 1073593570 and holds a License No. 23872 (Texas).

The current practice location address for 82 Medical Group is 149 Hart St, Sheppard Afb, TX and can be reached out via phone at 940-676-6075 and via fax at 940-676-6076.

Location: 149 Hart St, Sheppard Afb, TX, 76311-3477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073593570
Provider Name
82 Medical Group
Credential
Provider Entity Type
Organization
Address
149 Hart St, Sheppard Afb, TX, 76311-3477
Phone Number
940-676-6075
Fax Number
940-676-6076
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
149 Hart St
City
Sheppard Afb
State
Texas
Zip
76311-3477
Phone Number
940-676-6075
Fax Number
940-676-6076
person
Provider Business Mailing Address Details
Address
149 Hart St
City
Sheppard Afb
State
Texas
Zip
76311-3477
Phone Number
940-676-6075
Fax Number
940-676-6076
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
23872 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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