1104144088 METHADONE CLINIC OF EAST TEXAS LLC
Methadone Clinic
Active
Basic Information
- Organization Name
- METHADONE CLINIC OF EAST TEXAS LLC
- Enumeration Date
- May 17, 2010
- Last Update
- September 3, 2024
- Authorized Official
- RUPERT MCCORMAC MD
CHIEF EXECUTIVE OFFICER
Phone: (800) 805-6898
Practice Location
- Address
- 1510 S VINE AVE
TYLER, TX 757012826 - Phone
- (800) 805-6989
Mailing Address
- Address
- PO BOX 749057
ATLANTA, GA 303749057 - Phone
- (800) 805-6989
- Fax
- (864) 558-8511
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | TX | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Multi-Specialty Clinic/Center Multi-Specialty | 261QM1300X | Clinic/Center | N/A | N/A | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | 000039 | TX | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121550 | 05 | TX | N/A |
Frequently Asked Questions
What is METHADONE CLINIC OF EAST TEXAS LLC's NPI number?
METHADONE CLINIC OF EAST TEXAS LLC's NPI number is 1104144088.
Which doctor has NPI number 1104144088?
The doctor with NPI number 1104144088 is METHADONE CLINIC OF EAST TEXAS LLC.
What is METHADONE CLINIC OF EAST TEXAS LLC's practice address?
METHADONE CLINIC OF EAST TEXAS LLC's practice address is 1510 S VINE AVE, TYLER, TX, 757012826.
Which doctor practices at 1510 S VINE AVE, TYLER, TX, 757012826?
METHADONE CLINIC OF EAST TEXAS LLC practices at 1510 S VINE AVE, TYLER, TX, 757012826.
What is METHADONE CLINIC OF EAST TEXAS LLC's mailing address?
METHADONE CLINIC OF EAST TEXAS LLC's mailing address is PO BOX 749057, ATLANTA, GA, 303749057.
What is METHADONE CLINIC OF EAST TEXAS LLC's phone number?
METHADONE CLINIC OF EAST TEXAS LLC's phone number is (800) 805-6989.
Who is (800) 805-6989?
(800) 805-6989 is the phone number for METHADONE CLINIC OF EAST TEXAS LLC.
What is METHADONE CLINIC OF EAST TEXAS LLC's specialty?
METHADONE CLINIC OF EAST TEXAS LLC's specialty is Methadone Clinic.
What type of doctor is METHADONE CLINIC OF EAST TEXAS LLC?
METHADONE CLINIC OF EAST TEXAS LLC is a Methadone Clinic.
Is METHADONE CLINIC OF EAST TEXAS LLC a Methadone?
Yes, METHADONE CLINIC OF EAST TEXAS LLC is a Methadone.
Is METHADONE CLINIC OF EAST TEXAS LLC still practicing?
Yes, METHADONE CLINIC OF EAST TEXAS LLC is currently practicing.
Is METHADONE CLINIC OF EAST TEXAS LLC accepting new patients?
METHADONE CLINIC OF EAST TEXAS LLC may be accepting new patients. Please call their office at (800) 805-6989 to inquire about availability.
Is NPI 1104144088 still active?
Yes, NPI 1104144088 is currently active.
Where does METHADONE CLINIC OF EAST TEXAS LLC practice?
METHADONE CLINIC OF EAST TEXAS LLC practices in TYLER, TX.