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TEXAS TREATMENT SERVICES LLC NPI 1932377082


NPI Information

NPI: 1932377082
Provider Name: TEXAS TREATMENT SERVICES, LLC

Doing Business As: BRENTWOOD TREATMENT SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 45D2028458

Address:
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX
ZIP 76103
Phone: (817) 492-9383
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TEXAS TREATMENT SERVICES, LLC is a methadone clinic center in Fort Worth, 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. TEXAS TREATMENT SERVICES, LLC NPI is 1932377082. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood Treatment Services.

The provider's business location address is:

4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX
ZIP 76103-731
Phone: (817) 492-9383
Fax: (817) 492-9575

The provider's authorized official is Jacob Guerrero .
The authorized official title is Executive Director and has the following contact phone number (505) 730-6266.

The CLIA number assigned to this NPI record is 45D2028458 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 11/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health0000073TEXASNo
2261QM2800XClinic/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
10000073OTHERTEXASTEXAS DEPT OF HEALTH

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

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