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General NPI Number Information
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NPI Number | 1083567317
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Entity Type | Organization
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Legal Business Name | IT'S TIME TEXAS
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 11621 CR
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City | TYLER
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State | TX
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Zip | 75703
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Country | US
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Telephone | 512-533-9555
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Fax | 512-904-7555
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Provider Business Mailing Address
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Address Line | 9901 BRODIE LN STE 160
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City | AUSTIN
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State | TX
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Zip | 78748-5892
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Country | US
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Telephone | 512-533-9555
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Fax | 512-904-7555
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Authorized Official
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Title or Position | SVP OF OPERATIONS
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Name | LONNICIA MAXWELL
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Credential |
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Telephone | 512-533-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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