Organization
EPIC PEDIATRIC THERAPY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY M BUTLER (DIRECTOR OF COMPLIANCE)
(817) 602-8218
Entity
Organization
Contact information
Practice address
305 NE LOOP 820, SUITE 200, HURST, TX 76053-7209
(817) 602-8218
(817) 900-7246
Mailing address
5220 SPRING VALLEY RD, 400, DALLAS, TX 75254-3099
(214) 431-4451
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
013311
TX
251E00000X
Home Health Agency
Primary
015477
TX
Other
Enumeration date
09/26/2007
Last updated
05/09/2014
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