MR. ISSAC EARLS I
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1003019464
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1003019464 is the National Provider Identifier for MR. ISSAC EARLS I, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Austin, TX. This NPI was enumerated on June 6, 2007.
MR. ISSAC EARLS I practices at 4502 MAGIN MEADOW DR, Austin, TX 78744.
Quick Facts
- NPI
- 1003019464
- Type
- Individual
- Enumerated
- Jun 6, 2007
- Last Updated
- Jul 8, 2007
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IAN PATTERSON, M.D.
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JASON BOOTHE
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AMY WICKE, PA-C
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HOLLY CLAUSE, M.D.
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