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ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS PLLC NPI 1477165660


NPI Information

NPI: 1477165660
Provider Name: ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS, PLLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 45D2091040

Address:
6950 SHADY LN
SCURRY, TX
ZIP 75158
Phone: (972) 452-2210
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ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS, PLLC is an addiction medicine psychiatry neurology in Scurry, TX. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS, PLLC NPI is 1477165660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6950 SHADY LN
SCURRY, TX
ZIP 75158-831
Phone: (972) 452-2210
Fax: (469) 721-6767

The provider's authorized official is Leigh Ann Thompson .
The authorized official title is Senior Director and has the following contact phone number (615) 921-4447.

The CLIA number assigned to this NPI record is 45D2091040 - other - inpatient addiction treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2020 and was last updated on 5/5/2021.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes
22084B0002XPsychiatry & NeurologyObesity MedicineNo

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

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