Organization
REGION III EDUCATION SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARIE BOLOM OTR (COORDINATOR OF THERAPY SERVICES)
(361) 573-0731
Entity
Organization
Contact information
Practice address
1905 LEARY LN, VICTORIA, TX 77901-2818
(361) 573-0731
(361) 573-1594
Mailing address
1905 LEARY LN, VICTORIA, TX 77901-2818
(361) 573-0731
(361) 573-1594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017427801
—
TX
Enumeration date
11/21/2006
Last updated
06/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us