VCPHCS VII LLC NPI 1992966584

NPI Information

NPI: 1992966584
Provider Name: VCPHCS VII, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: MEDMARK TREATMENT CENTERS SAN ANTONIO QUINCY
CLIA Number: 45D1101077
Address: 5121 CRESTWAY RD STE 201
WINDCREST, TX
ZIP 78239
Phone: (210) 299-1614

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NPI Details

VCPHCS VII, LLC is a rehabilitation and substance use disorder clinic center in Windcrest, TX. VCPHCS VII, LLC NPI is 1992966584. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers San Antonio Quincy.

The provider's business location address is:

5121 CRESTWAY RD STE 201
WINDCREST, TX
ZIP 78239-975
Phone: (210) 299-1614
Fax: (214) 365-6150

The provider's authorized official is Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 45D1101077 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2008 and was last updated on 7/29/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	1000043	TEXAS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000043	OTHER	TEXAS	NTP 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: 11/21/2025

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