Most Relevant Information
Provider Data
| NPI Number: | 1003390246 |
| Provider Name: | VINZENTE TAYLA LOWE BEHAVIOR ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/24/2018 |
| Last Updated: | 09/24/2018 |
Provider Practice Location
400 E ROYAL LN BLDG 3
IRVING
TX
750393540
Practice Location Phone/Fax
| Phone: | 6727855832 |
| Fax: |
Provider Mailing Location
4107 TOWNE CROSSING BLVD APT 2808
MESQUITE
TX
75150
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |