Organization
PROSPERA HEALTHCARE TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE CODDINGTON (COO)
(972) 400-1983
Entity
Organization
Contact information
Practice address
5200 SADDLE DR, FLOWER MOUND, TX 75028-6011
(972) 400-1983
Mailing address
5200 SADDLE DR, FLOWER MOUND, TX 75028-6011
(972) 400-1983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
03/25/2022
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