| Education Service Center | |
|
612 S Irene San Angelo TX 76903 | |
| (325) 658-6571 | |
| (325) 653-0036 |
| Full Name | Education Service Center |
|---|---|
| Speciality | Social Worker |
| Location | 612 S Irene, San Angelo, Texas |
| Authorized Official Name and Position | Norma Y Bradley (BILLING SPECIALIST) |
| Authorized Official Contact | 3256586571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Education Service Center 612 S Irene San Angelo TX 76903 Ph: (325) 658-6571 | Education Service Center 612 S Irene San Angelo TX 76903 Ph: (325) 658-6571 |
| NPI Number | 1336459551 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336459551 | NPI | - | NPPES |
| 1396867966 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 32054 (Texas) | Primary |
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