| Easter Seals North Texas, Inc. | |
|
4201 Brook Spring Dr Bldg. Ii Dallas TX 75224-4968 | |
| (972) 394-8900 | |
| (214) 372-3304 |
| Full Name | Easter Seals North Texas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Brook Spring Dr, Dallas, Texas |
| Authorized Official Name and Position | Donna Dempsey (PRESIDENT/CEO) |
| Authorized Official Contact | 8177597925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals North Texas, Inc. 1424 Hemphill Street Fort Worth TX 76104-4703 Ph: (817) 332-7171 | Easter Seals North Texas, Inc. 4201 Brook Spring Dr Bldg. Ii Dallas TX 75224-4968 Ph: (972) 394-8900 |
| NPI Number | 1396702122 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/01/2012 |
| Medicare PECOS PAC ID | 2466530118 |
|---|---|
| Medicare Enrollment ID | O20131223000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396702122 | NPI | - | NPPES |
| 1991986-01 | Medicaid | TX | |
| 1528119-01 | Medicaid | TX | |
| 1528119-02 | Other | TX | CHSCN |
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