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Protostar Llc
Multi-Specialty Clinic/Center in Grand Prairie, Texas
NPI 1689138604

Protostar Llc is a Multi-Specialty Clinic/Center based in Grand Prairie, TX and is specialized in Multi-Specialty. Protostar Llc practices in Grand Prairie, TX. The NPI Number for Protostar Llc is 1689138604 and holds a License No. (Texas).

The current practice location address for Protostar Llc is 2080 N State Highway 360 Ste 230, Grand Prairie, TX and can be reached out via phone at 682-888-1290 and via fax at 940-312-7805.

Location: 2080 N State Highway 360 Ste 230, Grand Prairie, TX, 75050-0900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689138604
Provider Name
Protostar Llc
Credential
Provider Entity Type
Organization
Address
2080 N State Highway 360 Ste 230, Grand Prairie, TX, 75050-0900
Phone Number
682-888-1290
Fax Number
940-312-7805
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 N State Highway 360 Ste 230
City
Grand Prairie
State
Texas
Zip
75050-0900
Phone Number
682-888-1290
Fax Number
940-312-7805
person
Provider Business Mailing Address Details
Address
2080 N State Highway 360 Ste 230
City
Grand Prairie
State
Texas
Zip
75050-0900
Phone Number
682-888-1290
Fax Number
940-312-7805
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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