Organization
A SERVANT'S HEART-TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE ELAINE JACKSON (CASE/MANAGER)
(817) 714-9900
Entity
Organization
Contact information
Practice address
207 FAIRCREST DR, ARLINGTON, TX 76018-4027
(682) 241-0309
(800) 719-5871
Mailing address
207 FAIRCREST DR, ARLINGTON, TX 76018-4027
(817) 793-2088
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
TX
Enumeration date
04/23/2019
Last updated
06/24/2024
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