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NPI Code Detail

MEDICARE: DAISY CRUZ

MEDICARE: DAISY CRUZ
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
1106S00000XBehavior Technician
2106S00000XBehavior TechnicianRBT-24-358885TX

General Provider Information

NPI Number : 1851010912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY CRUZ
Provider Business Mailing Address
First Line : 1175 ADKINS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7413
Country : US
Telephone Number : 713-391-8688
Fax Number : 866-936-4614
Provider Business Practice Location Address
First Line : 1175 ADKINS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7413
Country : US
Telephone Number : 713-391-8688
Fax Number : 866-936-4614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 07/18/2024

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Directions to “ DAISY CRUZ ” Practice Location

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