NPI 1003019464

Issac Dawon Earls

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Austin, TX

Practice location

Address: 4502 Magin Meadow Dr, Austin, TX 78744-5248
Phone: (512) 947-7875

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Texas →

Registry record

NPI: 1003019464
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2007
Record last updated: 8 Jul 2007

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.

Contact

(512) 947-7875 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities nearby

Bianca Danielle Brown Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Austin

See all in Austin →