| Phoenix Houses Of Texas, Inc | |
|
2345 Reagan St Dallas TX 75219-3225 | |
| (214) 999-1044 | |
| (214) 526-3285 |
| Full Name | Phoenix Houses Of Texas, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2345 Reagan St, Dallas, 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 2345 Reagan St Dallas TX 75219-3225 Ph: (214) 999-1044 |
| NPI Number | 1508992249 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508992249 | NPI | - | NPPES |
| 170251601 | Medicaid | TX | |
| 865-865M | Other | STATE OF TEXAS | |
| 865-865P | Other | STATE OF TEXAS | |
| 065459201 | Medicaid | TX | |
| 319371601 | Medicaid | TX | |
| 335999401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 865 (Texas) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |