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NPI Code Detail

MEDICARE: SEQUOIA, INC.

MEDICARE: SEQUOIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/CenterTX

General Provider Information

NPI Number : 1093935652
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEQUOIA, INC.
Provider Business Mailing Address
First Line : 2438 BUTLER ST STE 104
Second Line :
City : DALLAS
State : TX
Zip : 75235-7880
Country : US
Telephone Number : 214-634-3431
Fax Number : 214-905-1114
Provider Business Practice Location Address
First Line : 3108 JUBILEE TRL
Second Line :
City : DALLAS
State : TX
Zip : 75229-3814
Country : US
Telephone Number : 214-634-3431
Fax Number : 214-905-1114
Authorized Official
Title or Position : DIRECTOR OF PROGRAMS
Name : SARAH ELLIOTT
Credential :
Telephone Number : 214-634-3431
Provider Enumeration Date : 04/26/2007
Last Update Date : 08/02/2007

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Directions to “SEQUOIA, INC. ” Practice Location

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