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2020 E Hebron Pkwy Suite 110 Carrollton TX 75007-1618 | |
| (469) 892-7500 | |
| (469) 575-3002 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 2020 E Hebron Pkwy, Carrollton, Texas |
| Authorized Official Name and Position | Sean Crone (COO) |
| Authorized Official Contact | 4698927500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2020 E Hebron Pkwy Suite 110 Carrollton TX 75007-1618 Ph: (469) 892-7500 | 2020 E Hebron Pkwy Suite 110 Carrollton TX 75007-1618 Ph: (469) 892-7500 |
| NPI Number | 1124332911 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124332911 | NPI | - | NPPES |
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