Provider Type Icon

CAGNOLATTI AND HENDERSON INC. NPI 1609496488


NPI Information

NPI: 1609496488
Provider Name: CAGNOLATTI AND HENDERSON INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 45D2215162

Address:
1451 EMPIRE CENTRAL DR STE 900
DALLAS, TX
ZIP 75247
Phone: (469) 360-6794
Get Directions

CAGNOLATTI AND HENDERSON INC. is a methadone clinic center in Dallas, 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. CAGNOLATTI AND HENDERSON INC. NPI is 1609496488. The provider is registered as an organization entity type.

The provider's business location address is:

1451 EMPIRE CENTRAL DR STE 900
DALLAS, TX
ZIP 75247-096
Phone: (469) 360-6794

The provider's authorized official is Lakisha Henderson .
The authorized official title is Owner and has the following contact phone number (469) 360-6794.

The CLIA number assigned to this NPI record is 45D2215162 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2020 and was last updated on 4/21/2020.


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
1261QM2800XClinic/CenterMethadoneYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000096OTHERTEXASTX LICENSE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.