Organization
RED BIRD EDUCATION PROGRAMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONAL O'NEAL MS LCDC (CEO)
(214) 475-3712
Entity
Organization
Contact information
Practice address
4549 S WESTMORELAND RD, DALLAS, TX 75237-1015
(214) 287-3501
Mailing address
4549 S WESTMORELAND RD, DALLAS, TX 75237-1015
(214) 287-3501
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36803681
TX
302R00000X
Health Maintenance Organization
36803682
TX
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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