Provider Demographics
NPI:1780009456
Name:TEXAS AUTISM PLAY PROJECT LLC
Entity type:Organization
Organization Name:TEXAS AUTISM PLAY PROJECT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:REISWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-390-6572
Mailing Address - Street 1:4300 SIGMA RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4422
Mailing Address - Country:US
Mailing Address - Phone:214-390-6572
Mailing Address - Fax:
Practice Address - Street 1:4300 SIGMA RD
Practice Address - Street 2:SUITE 130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4422
Practice Address - Country:US
Practice Address - Phone:214-390-6572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCI HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health