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TEXAS TREATMENT SERVICES LLC NPI 1104102102


NPI Information

NPI: 1104102102
Provider Name: TEXAS TREATMENT SERVICES, LLC

Other Name: STOP SA

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 45D2285702

Address:
571 SPENCER LN STE 101
SAN ANTONIO, TX
ZIP 78201
Phone: (210) 736-4405
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TEXAS TREATMENT SERVICES, LLC is a methadone clinic center in San Antonio, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. TEXAS TREATMENT SERVICES, LLC NPI is 1104102102. The provider is registered as an organization entity type.
The provider Other Name Is Stop Sa.

The provider's business location address is:

571 SPENCER LN STE 101
SAN ANTONIO, TX
ZIP 78201-030
Phone: (210) 736-4405
Fax: (210) 736-4407

The provider's authorized official is Donnita Smart .
The authorized official title is Executive Director and has the following contact phone number (972) 800-6986.

The CLIA number assigned to this NPI record is 45D2285702 - other - otp-mat outpatient progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 12/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthPENDINGTEXASNo
2261QM2800XClinic/CenterMethadoneYes

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: 4/28/2024

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