| Phoenix Houses Of Texas, Inc | |
|
211 Commerce Blvd Suite 107 Round Rock TX 78664-2184 | |
| (512) 541-6097 | |
| Not Available |
| Full Name | Phoenix Houses Of Texas, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 211 Commerce Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Bart R Loewen (PRESIDENT & CEO) |
| Authorized Official Contact | 2149201628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Houses Of Texas, Inc 1910 Pacific Ave Ste 10500 Dallas TX 75201-4591 Ph: (214) 920-1628 | Phoenix Houses Of Texas, Inc 211 Commerce Blvd Suite 107 Round Rock TX 78664-2184 Ph: (512) 541-6097 |
| NPI Number | 1306259932 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306259932 | NPI | - | NPPES |
| 335999401 | Medicaid | TX | |
| 065459201 | Medicaid | TX | |
| 170251601 | Medicaid | TX | |
| 319371601 | Medicaid | TX | |
| 330736501 | Medicaid | TX |
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