Organization
EASTER SEALS CENTRAL TEXAS INC
Active
Other names
Easterseals Lonestar
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KHOURY (CFO)
(512) 615-6800
Entity
Organization
Contact information
Practice address
8001 CENTRE PARK DR STE 130, AUSTIN, TX 78754-5108
(512) 615-6800
(512) 615-7121
Mailing address
633 3RD AVE FL 6, NEW YORK, NY 10017-6733
(512) 615-6800
(512) 615-7121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004760702
—
TX
01
—
0082CM
BLUE CROSS PROVIDER GROUP
TX
05
—
021286201
—
TX
05
—
021286202
—
TX
05
—
021286204
—
TX
05
—
126129901
—
TX
05
—
172268801
—
TX
Enumeration date
12/02/2005
Last updated
10/23/2025
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