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 |
| 1 | 324500000X | Substance Abuse Rehabilitation Facility | | 316316B | TEXAS | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 207QA0401X | Family Medicine | Addiction Medicine | | | No |
| 4 | 207RG0300X | Internal Medicine | Geriatric Medicine | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 208D00000X | General Practice | | | | No |
| 7 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 8 | 207R00000X | Internal Medicine | | | | No |
| 9 | 208000000X | Pediatrics | | | | No |
| 10 | 251B00000X | Case Management | | | | No |
| 11 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | Yes |
