Healthcare Provider Details

I. General information

NPI: 1093676074
Provider Name (Legal Business Name): STREAMLINING LEGACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11532 HARRY HINES BLVD STE B218
DALLAS TX
75229-2360
US

IV. Provider business mailing address

3909 LOMBARDY DR
VENUS TX
76084-3652
US

V. Phone/Fax

Practice location:
  • Phone: 972-339-8737
  • Fax:
Mailing address:
  • Phone: 972-339-8737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: DEJA ARD
Title or Position: PRESIDENT
Credential:
Phone: 972-339-8737