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MEDMARK TREATMENT CENTERS OF TEXAS INC NPI 1891169215


NPI Information

NPI: 1891169215
Provider Name: MEDMARK TREATMENT CENTERS OF TEXAS, INC

Doing Business As: MEDMARK TREATMENT CENTERS EL PASO

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2116333

Address:
5004 ALAMEDA AVE
EL PASO, TX
ZIP 79905
Phone: (915) 772-6555
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MEDMARK TREATMENT CENTERS OF TEXAS, INC is a rehabilitation and substance use disorder clinic center in El Paso, TX. MEDMARK TREATMENT CENTERS OF TEXAS, INC NPI is 1891169215. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers El Paso.

The provider's business location address is:

5004 ALAMEDA AVE
EL PASO, TX
ZIP 79905-804
Phone: (915) 772-6555
Fax: (915) 772-7275

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 45D2116333 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 2/13/2024.


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/CenterMethadoneTEXASNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderTEXASYes

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: 4/28/2024

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