NPI 1124449913

Launchability

Organisation Early Intervention Provider Agency Dallas, TX

Practice location

Address: 4350 Sigma Rd STE 100, Dallas, TX 75244-4421
Phone: (972) 991-6777

Authorised official

Name: Patrice Robinson
Title: Credentialing Coordinator
Phone: (469) 385-7687

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 115602 (TX)

Other Early Intervention Provider Agency providers in Texas →

Registry record

NPI: 1124449913
Entity type: Organization
NPI issued: 20 Dec 2013
Record last updated: 20 Dec 2013

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.