Itzel Carbajal
Individual provider Active NPI Early Intervention Provider Agency · Angleton, TX
NPI 1447804653 · NPPES record last updated Jul 25, 2019
Key facts
- NPI
- 1447804653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 120 E Hospital Dr
Angleton, TX 77515-4112 - Phone
- (979) 849-2447
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
120 E Hospital Dr
Angleton, TX 77515-4112
Mailing address
120 E Hospital Dr
Angleton, TX 77515-4112
Other providers in Angleton, TX
- Leslie Burge
- Deidre Bynum
- C-a-R-E
- Qiangjun Cai
- Campen Hospice Inc.
- Su Zan Carpenter
- Eric Michael Carr
- Laura Case
- Allison Castator
- Carla Castillo
All providers in Angleton, TX · Early Intervention Provider Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.