| Easter Seals Central Texas, Inc. | |
|
2324 Ridgepoint Dr Ste F1 Austin TX 78754-5214 | |
| (512) 615-6800 | |
| (512) 615-7121 |
| Full Name | Easter Seals Central Texas, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2324 Ridgepoint Dr Ste F1, Austin, Texas |
| Authorized Official Name and Position | Carol Khoury (CFO) |
| Authorized Official Contact | 2127274270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Central Texas, Inc. 2324 Ridgepoint Dr Ste F1 Austin TX 78754-5214 Ph: (512) 615-6800 | Easter Seals Central Texas, Inc. 2324 Ridgepoint Dr Ste F1 Austin TX 78754-5214 Ph: (512) 615-6800 |
| NPI Number | 1013991017 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 1355341116 |
|---|---|
| Medicare Enrollment ID | O20070102000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013991017 | NPI | - | NPPES |
| 021286202 | Medicaid | TX | |
| 0082CM | Other | TX | BLUE CROSS PROVIDER GROUP |
| 021286201 | Medicaid | TX | |
| 021286204 | Medicaid | TX | |
| 004760702 | Medicaid | TX | |
| 172268801 | Medicaid | TX | |
| 126129901 | Medicaid | TX |
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