Provider Demographics
NPI:1831646058
Name:TEXAS CASE MANAGEMENT PROFESSIONALS
Entity Type:Organization
Organization Name:TEXAS CASE MANAGEMENT PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:RN CASE MANAGER
Authorized Official - Phone:214-440-6561
Mailing Address - Street 1:11333 N CENTRAL EXPY
Mailing Address - Street 2:234
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6706
Mailing Address - Country:US
Mailing Address - Phone:214-440-6561
Mailing Address - Fax:
Practice Address - Street 1:2813 LAKE VISTA DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-6401
Practice Address - Country:US
Practice Address - Phone:214-440-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690537251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management