Organization
DEPT OF ASSISTIVE & REHAB SERV - TYLER FIELD HEADQUARTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PAYNE (PROGRAM MANAGER)
(512) 424-4092
Entity
Organization
Contact information
Practice address
1121 E SOUTHEAST LOOP 323 BLDG 1 # 106, WOODGATE OFFICE PARK, TYLER, TX 75701-9660
(903) 581-9945
Mailing address
PO BOX 12866, AUSTIN, TX 78711-2866
(512) 377-0584
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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