Region Iii Education Service Center

LBN: Region Iii Education Service Center
Region Iii Education Service Center is an health care organization with primary practice located at 1905 Leary Ln , Victoria TX 77901-2818. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Dietary & Nutritional Service Providers / Dietitian, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Region Iii Education Service Center can be contacted via phone (361) 573-0731, or through Bolom, Angie Marie via phone (361) 573-0731.

Contact Information

Primary practice address
1905 Leary Ln Victoria TX 77901-2818
Phone: (361) 573-0731
Fax: (361) 573-1594
Website:
Map and Directions
Authorized official contact:
Name: Bolom, Angie Marie Registered Occupational Therapist (OTR)
Phone: (361) 573-0731

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1003981572
LBN Legal business name Region Iii Education Service Center
DBA Doing business as
Authorized official Bolom, Angie Marie Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 12th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003981572 NPPES
Texas MEDICAID 017427801

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