| Easter Seals North Texas, Inc. | |
|
4443 N Josey Ln 100 Carrollton TX 75010-4605 | |
| (972) 394-8900 | |
| (972) 394-6266 |
| Full Name | Easter Seals North Texas, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4443 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Carol Khoury (CFO) |
| Authorized Official Contact | 2127274270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals North Texas, Inc. 633 3rd Ave Fl 6 New York NY 10017-6733 Ph: (817) 542-1988 | Easter Seals North Texas, Inc. 4443 N Josey Ln 100 Carrollton TX 75010-4605 Ph: (972) 394-8900 |
| NPI Number | 1174589220 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174589220 | NPI | - | NPPES |
| 1261315-07 | Other | TX | CHSCN |
| 126131504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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