Individual
THELMA LOUISE FRAZIER DBA ALPHA-1 HCS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
315 N JOHNSON AVE STE 105, MOUNT PLEASANT, TX 75455-3951
(903) 575-8936
(903) 305-2357
Mailing address
PO BOX 750, MOUNT PLEASANT, TX 75456-0750
(903) 575-8936
(903) 717-8507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880561
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
880561
TX
Other
Enumeration date
01/02/2018
Last updated
10/23/2023
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