Provider Demographics
NPI:1083710032
Name:HEART OF TEXAS THERAPEUTIC RIDING CENTER, INC.
Entity Type:Organization
Organization Name:HEART OF TEXAS THERAPEUTIC RIDING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:254-829-0674
Mailing Address - Street 1:848 E WHITE OAK RD
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691-1963
Mailing Address - Country:US
Mailing Address - Phone:254-829-0674
Mailing Address - Fax:254-829-0474
Practice Address - Street 1:848 E WHITE OAK RD
Practice Address - Street 2:
Practice Address - City:WEST
Practice Address - State:TX
Practice Address - Zip Code:76691-1963
Practice Address - Country:US
Practice Address - Phone:254-829-0674
Practice Address - Fax:254-829-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty