A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
TX license #L7507taxonomy 261Q00000X
Clinic/Center
Definition to come...
TX license #133329taxonomy 261QA0600X
Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.
taxonomy 315P00000X
Identifiers
Type
Value
Notes
01 (TX)
00D46N
BLUE CROSS BLUE SHIELD
01 (TX)
86804J
DR. KAY R. LEWIS
01 (TX)
000334500
DAHS DAY PROGRAM
05 (TX)
038490102
01 (TX)
1801821939
DR. CATHERINE OKONJI-AZUOGU
01 (TX)
000374501
PROVIDER ID
01 (TX)
001004492
PROVIDER ID
05 (TX)
091760101
01 (TX)
1447278668
DR. KAY R. LEWIS
01 (TX)
81204P
1699787374
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Willow River Farms #12
Type code 3recorded 2026-02-24
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 23131 Counselor providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.