Provider Demographics
NPI:1790384121
Name:TEXAS AGAPECARE, LLC
Entity Type:Organization
Organization Name:TEXAS AGAPECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUD
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-879-3545
Mailing Address - Street 1:2211 N LAMAR ST STE 225
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-1005
Mailing Address - Country:US
Mailing Address - Phone:469-879-3545
Mailing Address - Fax:469-533-8625
Practice Address - Street 1:2211 N LAMAR ST STE 225
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-1005
Practice Address - Country:US
Practice Address - Phone:469-879-3545
Practice Address - Fax:469-533-8625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services