MEDICARE: A WORLD FOR CHILDREN

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	253J00000X	Foster Care Agency	526950	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255682431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A WORLD FOR CHILDREN

Provider Business Mailing Address
First Line	:	1516 E PALM VLY
Second Line	:	BLDG
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-4619
Country	:	US
Telephone Number	:	512-218-4400
Fax Number	:	512-218-3940

Provider Business Practice Location Address
First Line	:	1516 E PALM VLY
Second Line	:	BLDG
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-4619
Country	:	US
Telephone Number	:	512-218-4400
Fax Number	:	512-218-3940

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL R WILLIS
Credential	:	PHD
Telephone Number	:	512-218-4400

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	11/15/2012

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Directions to “A WORLD FOR CHILDREN ” Practice Location

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