OLIVE BRANCH RECOVERY LLC NPI 1508480765

NPI Information

NPI: 1508480765
Provider Name: OLIVE BRANCH RECOVERY LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address: 1332 TEASLEY LN STE 180
DENTON, TX
ZIP 76205
Phone: (940) 220-8899

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NPI Details

OLIVE BRANCH RECOVERY LLC is an internal medicine in Denton, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OLIVE BRANCH RECOVERY LLC NPI is 1508480765. The provider is registered as an organization entity type.

The provider's business location address is:

1332 TEASLEY LN STE 180
DENTON, TX
ZIP 76205-946
Phone: (940) 220-8899

The provider's authorized official is Miles Raizada .
The authorized official title is Provider and has the following contact phone number (940) 220-8899.

The enumeration date for this NPI number is 6/3/2020 and was last updated on 8/16/2021.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QE0002X	Clinic/Center	Emergency Care	No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	261QM0850X	Clinic/Center	Adult Mental Health	No
6	276400000X	Rehabilitation, Substance Use Disorder Unit		No
7	207R00000X	Internal Medicine		Yes

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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