Provider Demographics
NPI:1790388627
Name:WEST LEARNING ACADEMY
Entity Type:Organization
Organization Name:WEST LEARNING ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY D
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST III
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-262-5573
Mailing Address - Street 1:2049 W WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4404
Mailing Address - Country:US
Mailing Address - Phone:469-262-5573
Mailing Address - Fax:469-262-5573
Practice Address - Street 1:2049 W WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-4404
Practice Address - Country:US
Practice Address - Phone:469-262-5573
Practice Address - Fax:469-262-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech