| Region Iii Education Service Center | |
|
1905 Leary Ln Victoria TX 77901-2818 | |
| (361) 573-0731 | |
| (361) 573-1594 |
| Full Name | Region Iii Education Service Center |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1905 Leary Ln, Victoria, Texas |
| Authorized Official Name and Position | Angie Marie Bolom (COORDINATOR OF THERAPY SERVICES) |
| Authorized Official Contact | 3615730731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Iii Education Service Center 1905 Leary Ln Victoria TX 77901-2818 Ph: (361) 573-0731 | Region Iii Education Service Center 1905 Leary Ln Victoria TX 77901-2818 Ph: (361) 573-0731 |
| NPI Number | 1003981572 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003981572 | NPI | - | NPPES |
| 017427801 | Medicaid | TX |
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