| Evolution Autism | |
|
1801 S Great Southwest Pkwy Grand Prairie TX 75051-3542 | |
| (214) 984-4189 | |
| Not Available |
| Full Name | Evolution Autism |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1801 S Great Southwest Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Gabrielle Roseman (DIRECTOR) |
| Authorized Official Contact | 2149844189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Autism 822 Weaver St Cedar Hill TX 75104-9235 Ph: () - | Evolution Autism 1801 S Great Southwest Pkwy Grand Prairie TX 75051-3542 Ph: (214) 984-4189 |
| NPI Number | 1710698378 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710698378 | NPI | - | NPPES |
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