Organization
EASTER SEALS CENTRAL TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA MARTIN (CFO)
(512) 615-6811
Entity
Organization
Contact information
Practice address
8505 CROSS PARK DR STE 120, AUSTIN, TX 78754
(512) 615-6800
Mailing address
8505 CROSS PARK DR STE 120, AUSTIN, TX 78754-4552
(512) 615-6800
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1020550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021286204
—
TX
Enumeration date
02/21/2013
Last updated
07/05/2018
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