| Dsah24 Llc | |
|
101 W Main St Waxahachie TX 75165-0405 | |
| (281) 733-7525 | |
| Not Available |
| Full Name | Dsah24 Llc |
|---|---|
| Speciality | Case Management |
| Location | 101 W Main St, Waxahachie, Texas |
| Authorized Official Name and Position | Daniel George Sullivan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2817337525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dsah24 Llc 101 W Main St Waxahachie TX 75165-0405 Ph: (281) 733-7525 | Dsah24 Llc 101 W Main St Waxahachie TX 75165-0405 Ph: (281) 733-7525 |
| NPI Number | 1568219244 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568219244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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