Provider Demographics
NPI:1801027404
Name:CONSUMER DIRECTED SERVICES IN TEXAS, INC.
Entity type:Organization
Organization Name:CONSUMER DIRECTED SERVICES IN TEXAS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CHAIRMAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-798-0123
Mailing Address - Street 1:6243 IH 10 WEST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2098
Mailing Address - Country:US
Mailing Address - Phone:210-798-3779
Mailing Address - Fax:210-798-5200
Practice Address - Street 1:6243 IH 10 WEST
Practice Address - Street 2:SUITE 430
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2098
Practice Address - Country:US
Practice Address - Phone:210-798-3779
Practice Address - Fax:210-798-5200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCE HI-TECH NURSING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251J00000XAgenciesNursing Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207582201Medicaid