Graduated: 2023
NPI: 1336828466
Practice Locations (2)
CLEANSLATE MEDICAL GROUP OF INDIANA LLC
1725 N MERIDIAN ST
INDIANAPOLIS, IN 462021403
3173962679
PSYCHIATRY OF TEXAS PLLC
8240 NAAB RD, SUITE 360
INDIANAPOLIS, IN 462601987
8328694818235
Source: CMS National Downloadable File, September 2026.