NPI 1043580616

Dra Health Services of Texas

Organisation Early Intervention Provider Agency Southlake, TX

Practice location

Address: 2600 E Southlake Blvd STE 120-210, Southlake, TX 76092-6634
Phone: (800) 584-1671
Fax: (817) 745-1232

Authorised official

Name: Allen Grant
Title: Owner - President
Phone: (214) 783-6769

Registered specialties (5)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Texas →

Dentist

Dental Providers Taxonomy 122300000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

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Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

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Registry record

NPI: 1043580616
Entity type: Organization
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.