Macedon, Andre Alexander

Macedon, Andre Alexander is an sole proprietor health care provider with primary practice located at 1614 Skyline Dr , Garland TX 75043-1771. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Macedon, Andre Alexander can be contacted via phone (214) 703-5115.

Contact Information

Primary practice address
1614 Skyline Dr Garland TX 75043-1771
Phone: (214) 703-5115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Texas

Profile Details

NPI number 1952548158
LBN Legal business name Macedon, Andre Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2009
Last updated Jan 10th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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