| Epic Pediatric Therapy, Lp | |
|
305 Ne Loop 820 Suite 200 Hurst TX 76053-7209 | |
| (817) 602-8218 | |
| (817) 900-7246 |
| Full Name | Epic Pediatric Therapy, Lp |
|---|---|
| Speciality | Home Health |
| Location | 305 Ne Loop 820, Hurst, Texas |
| Authorized Official Name and Position | Stacey M Butler (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 8176028218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Pediatric Therapy, Lp 5220 Spring Valley Rd 400 Dallas TX 75254-3099 Ph: (214) 431-4451 | Epic Pediatric Therapy, Lp 305 Ne Loop 820 Suite 200 Hurst TX 76053-7209 Ph: (817) 602-8218 |
| NPI Number | 1205023066 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205023066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 013311 (Texas) | Secondary |
| 251E00000X | Home Health | 015477 (Texas) | Primary |
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