Healthcare Provider Details

I. General information

NPI: 1811404635
Provider Name (Legal Business Name): THE ARC OF NORTH TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 01/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 WALNUT ST STE 132
RICHARDSON TX
75081-7008
US

IV. Provider business mailing address

445 WALNUT ST STE 132
RICHARDSON TX
75081-7008
US

V. Phone/Fax

Practice location:
  • Phone: 214-634-9810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMMA WATSON
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 214-634-9810