Healthcare Provider Details

I. General information

NPI: 1124252630
Provider Name (Legal Business Name): DFW WORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7913 HOOK DR
PLANO TX
75025-2818
US

IV. Provider business mailing address

7913 HOOK DR
PLANO TX
75025-2818
US

V. Phone/Fax

Practice location:
  • Phone: 972-834-8045
  • Fax: 972-534-0458
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: JULIE GEBHARDT-BROWN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 972-834-8045