Individual
MARTHA ANWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 MONTEGO DR, ARLINGTON, TX 76002-4007
(214) 403-9028
(817) 277-5976
Mailing address
2306 MONTEGO DR, ARLINGTON, TX 76002
(214) 403-9028
(817) 277-5976
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8651
DFPS
TX
01
—
DO NOT HAVE
DADS
TX
Enumeration date
06/07/2013
Last updated
06/07/2013
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