Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
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Active OrganizationICF/Individuals with Intellectual Disabilities · JACKSONVILLE, TX
Registration Details
- NPI Number
- 1013945625
- Provider Type
- Organization
- NPI Issued
- Jun 30, 2006 (19.810860971656 yrs)
- Last Updated
- Jun 12, 2008
- License
-
45H268 (TX)
Practice Information
- Address
-
5656 N. JACKSONJACKSONVILLE, TX, 75766Browse TX providers · Browse ZIP 75766
- Phone
- 9035899000
- Fax
- 9035869200
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Other ICF/Individuals with Intellectual Disabilities Organizations in JACKSONVILLE, TX
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.