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MEDMARK TREATMENT CENTERS OF TEXAS INC. NPI 1972955219


NPI Information

NPI: 1972955219
Provider Name: MEDMARK TREATMENT CENTERS OF TEXAS, INC.

Doing Business As: MEDMARK TREATMENT CENTERS CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2059338

Address:
1110 TENAHA ST
CENTER, TX
ZIP 75935
Phone: (936) 598-5608
Get Directions

MEDMARK TREATMENT CENTERS OF TEXAS, INC. is a rehabilitation and substance use disorder clinic center in Center, TX. MEDMARK TREATMENT CENTERS OF TEXAS, INC. NPI is 1972955219. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Center.

The provider's business location address is:

1110 TENAHA ST
CENTER, TX
ZIP 75935-036
Phone: (936) 598-5608

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 45D2059338 - other - outpatient treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 2/13/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100004OTHERTEXASOPIOID TREATMENT PROGRAM LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.