Professional Care Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

030258 Issued in TX

Legal business name

PROFESSIONAL CARE FACILITY

Practice address

6327 Teague Dr
Dallas, TX 75241-4844

Phone

(214) 372-3690

Fax

(972) 224-5589

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Latondra Denise Askew

Title

Administrator

Phone

(469) 877-8557

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1114123015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 TEAGUE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414844",
            "telephone_number": "214-372-3690",
            "fax_number": "972-224-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 TEAGUE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414844",
            "telephone_number": "214-372-3690",
            "fax_number": "972-224-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "ASKEW",
        "authorized_official_first_name": "LATONDRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-877-8557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "030258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Proctor
• Tianna Proctor
• Timothy James Proctor, PH.D.
• Productive Rehabilitation Institute of Dallas for Ergonomics
• Ingrid F Proenca-Afonso, D.D.S.
• Professional Diagnostic Affiliates
• Professional Nutrition Therapists, LLC
• Professional Vascular Diagnostics Inc.
• John Leslie Proffitt, MD
• Amanda Lynn Profit, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.