| Easter Seals North Texas Inc. | |
|
6900 Anderson Blvd Ste 104 Fort Worth TX 76120-3030 | |
| (817) 332-7171 | |
| (817) 665-0878 |
| Full Name | Easter Seals North Texas Inc. |
|---|---|
| Speciality | Case Management |
| Location | 6900 Anderson Blvd Ste 104, Fort Worth, 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. 6900 Anderson Blvd Ste 104 Fort Worth TX 76120-3030 Ph: (817) 332-7171 |
| NPI Number | 1376751404 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376751404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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