MEDICARE: DEE PROVIDENCE

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
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1154272268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEE PROVIDENCE

Provider Business Mailing Address
First Line	:	6913 RANCHITO DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-6471
Country	:	US
Telephone Number	:	832-846-3916
Fax Number	:

Provider Business Practice Location Address
First Line	:	6913 RANCHITO DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-6471
Country	:	US
Telephone Number	:	832-846-3916
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID O OWEH
Credential	:
Telephone Number	:	832-846-3916

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “DEE PROVIDENCE ” Practice Location

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