ALVIE THERAL STEGALL NPI 1457853970

NPI Information

Alvie Theral Stegall is a respite care and physical disabilities and child respite care in Fort Worth, TX. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. Alvie Theral Stegall NPI is 1457853970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8745 SAN JOAQUIN TRL
FORT WORTH, TX
ZIP 76118-836
Phone: (817) 319-1938

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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