Mr. Issac Dawon Earls I
Mr. Issac Dawon Earls I is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
4502 Magin Meadow DrAustin, TX 78744-5248
Phone: (512) 947-7875
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (TX) |
|---|
Record details
| NPI number | 1003019464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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