Heryn Donald

NPI 1417150467 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1417150467
Enumeration Date 06/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HERYN O HERYN
Position PROGRAM DIRECTOR
Phone (817) 791-9040
Fax (817) 590-8305
Practice Location
1001 CAROUSEL DR
BEDFORD TX, 76021-3376, US
Phone (817) 791-9040
Fax (817) 590-8305
Business Location
1001 CAROUSEL DR
BEDFORD TX, 76021-3376, US
Phone (817) 791-9040
Fax (817) 590-8305
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Heryn Donald NPI is 1417150467, taxonomy code is 320900000X Heryn Donald physically located at 1001 Carousel Dr, Bedford TX, 76021-3376. NPI Number 1033115704 has the healthcare provider type.

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1417150467 NPI number is provided on an as is basis without warranty of any kind. 1417150467 is maintained by the National Plan & Provider Enumeration System. The contents of Heryn Donald are for informational purposes only.