Phoenix Houses Of Texas, Inc, NPI 1639636335
Substance Use Disorder Rehabilitation Clinic/Center in San Antonio, TX, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1639636335 |
| NPI Entity Type | Organization |
| Provider Name |
Phoenix Houses Of Texas, Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1135 Mission Rd Bldg 2, San Antonio, TX, US |
| Provider Mailing Address | 1910 Pacific Ave Ste 10500, Dallas, TX, US, 752014591 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Bart R Loewen |
| Official Position | PRESIDENT & CEO |
| Phone | 214-920-1628 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 396608701 | TX | MEDICAID | 05 |
| 865-4403 | TX | STATE OF TEXAS | 01 |
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