Larry D Roper
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irving, TX. Individual provider (NPI-1).
NPI number1447593512
StatusActive
Last updated in NPPESMar 27, 2013
Details
- NPI
- 1447593512
- Entity type
- Individual (NPI-1)
- Name
- Larry D Roper
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2013
- Last updated
- Mar 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2508 Yorkshire StIrving, TX 75061-6758
Phone 214-923-7503
Mailing address
2508 Yorkshire StIrving, TX 75061-6758
Phone 214-923-7503
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