OrganizationActive
Launchability
NPI 1124449913 · Early Intervention Provider Agency · Dallas, TX
Provider details
- NPI number
- 1124449913
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Patrice Robinson, Credentialing Coordinator(469) 385-7687
- License
- 115602 (TX)
Specialties & taxonomies
Agencies
Practice location
4350 Sigma Rd Ste 100
Dallas, TX 75244-4421
Phone: (972) 991-6777
Approximate (ZIP-level) locationGet directions
Mailing address
4350 Sigma Rd Ste 100
Dallas, TX 75244-4421
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2013-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.