# SAFETY EXTENSIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063658847
- **Authorized official:** MS. DEBORAH ANN TAYLOR (OWNER)
- **Authorized official phone:** (512) 797-1608

## Contact information

- **Practice address:** 4922 WATERFALL ST, CORPUS CHRISTI, TX 78416-1321
- **Practice address phone:** (512) 797-1608
- **Practice address fax:** (888) 662-4032
- **Mailing address:** 4922 WATERFALL ST, CORPUS CHRISTI, TX 78416-1321
- **Mailing address phone:** (512) 797-1608
- **Mailing address fax:** (888) 662-4032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 515999 | KS | Yes |
| 282J00000X | Religious Nonmedical Health Care Institution | 515999 | KS | — |
| 302F00000X | Exclusive Provider Organization | 515999 | KS | — |
| 302R00000X | Health Maintenance Organization | 515999 | KS | — |

## Other

- **Enumeration date:** 12/27/2008
- **Last updated:** 12/27/2008