| Texas Addiction Treatment Center Pllc | |
|
6902 S Peek Rd Richmond TX 77407-1741 | |
| (713) 984-4546 | |
| (800) 930-4957 |
| Full Name | Texas Addiction Treatment Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6902 S Peek Rd, Richmond, Texas |
| Authorized Official Name and Position | Riaz Rahman (OWNER) |
| Authorized Official Contact | 3214439924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Addiction Treatment Center Pllc 6902 S Peek Rd Richmond TX 77407-1741 Ph: (713) 984-4546 | Texas Addiction Treatment Center Pllc 6902 S Peek Rd Richmond TX 77407-1741 Ph: (713) 984-4546 |
| NPI Number | 1851861868 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Medicare PECOS PAC ID | 8426457250 |
|---|---|
| Medicare Enrollment ID | O20210528000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851861868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Riaz Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20160917000079 |
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