Dra Health Services of Texas

NPI #1043580616 in Southlake, Texas

Provider Information

NPI Number
1043580616
Entity Type
Organization
Organization Name
Dra Health Services of Texas
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 12, 2012
Last Updated
Jan 12, 2012

Practice Location

Address
2600 E SOUTHLAKE BLVD STE 120-210
State
Texas
ZIP Code
76092-6634
Phone
(800) 584-1671

Authorized Official

Name
MR. ALLEN GRANT
Title
OWNER - PRESIDENT
Phone
(214) 783-6769

Specialties & Taxonomy Codes

Specialty
Dentist
Family Medicine
Internal Medicine
Neurological Surgery
Early Intervention Provider Agency

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