Organization
EASTER SEALS CENTRAL TEXAS INC
Active
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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