Organization
ANDREWS CENTER
Active
Other names
eci service coordination
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FONTENOT (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
1722 W FRONT ST, TYLER, TX 75702-6823
(903) 597-5067
(903) 597-6223
Mailing address
1722 W FRONT ST, TYLER, TX 75702-6823
(903) 597-5067
(903) 597-6223
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138365506
—
TX
Enumeration date
03/20/2006
Last updated
11/27/2012
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