Provider Demographics
NPI:1710198684
Name:REGION 18 EDUCATION SERVICE CENTER
Entity Type:Organization
Organization Name:REGION 18 EDUCATION SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ECI COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-567-3256
Mailing Address - Street 1:PO BOX 60580
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79711-0580
Mailing Address - Country:US
Mailing Address - Phone:432-563-2380
Mailing Address - Fax:432-563-2380
Practice Address - Street 1:2811 LAFORCE BLVD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79711-0580
Practice Address - Country:US
Practice Address - Phone:432-563-2380
Practice Address - Fax:432-561-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty