PRECISION ADDICTION MEDICINE PLLC NPI 1144928037

NPI Information

  • NPI: 1144928037
  • Provider Name: PRECISION ADDICTION MEDICINE PLLC
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 7400 BLANCO RD STE 126
    SAN ANTONIO, TX
    ZIP 78216
  • Phone: (210) 627-4017

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NPI Details

PRECISION ADDICTION MEDICINE PLLC is an addiction medicine preventive medicine in San Antonio, TX. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. PRECISION ADDICTION MEDICINE PLLC NPI is 1144928037. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7400 BLANCO RD STE 126
SAN ANTONIO, TX
ZIP 78216-361
Phone: (210) 627-4017
Fax: (210) 579-6873

The provider's authorized official is Richard Paul Green .
The authorized official title is Ceo and has the following contact phone number (210) 627-4017.

The enumeration date for this NPI number is 2/20/2023 and was last updated on 3/14/2023.

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
1170100000XMedical Genetics, Ph.D. Medical GeneticsNo
2173000000XLegal MedicineNo
3175T00000XPeer SpecialistNo
4207LA0401XAnesthesiologyAddiction MedicineNo
5251B00000XCase ManagementNo
6261QG0250XClinic/CenterGeneticsNo
7261QM0850XClinic/CenterAdult Mental HealthNo
8261QM1300XClinic/CenterMulti-SpecialtyNo
9261QP3300XClinic/CenterPainNo
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
11261QR1100XClinic/CenterResearchNo
122083A0300XPreventive MedicineAddiction MedicineYes

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
132082447940OTHERTEXASTEXAS TAX ID NUMBER

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: 11/21/2025

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