Organization
TEXAS CDS & SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN EASTHAM (OWNER)
(214) 660-8507
Entity
Organization
Contact information
Practice address
10636 CAYUGA DR, DALLAS, TX 75228-2804
(214) 660-8507
Mailing address
10636 CAYUGA DR, DALLAS, TX 75228-2804
(214) 660-8507
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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