NORTH DALLAS DRUG REHABILITATION CENTER (NPI# 1609167469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609167469 |
| Entity Type | Organization |
| Organization Name | NORTH DALLAS DRUG REHABILITATION CENTER |
| Practice Address |
1606 S I 35 Ste 101 Carrollton TX 75006-7478 |
| Practice Telephone | 9724460972 |
| Mailing Telephone | 9724460972 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | MR. MICHAEL S ACEVES SR. (SPONSOR) |
| Authorized Official Telephone | 9724460972 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
TX10127M | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | RN0112843 | 01 |
| TX | SAMHSA/TEXAS DEPT. OF STATE HEALTH SERVICES | TX10127M | 01 |
| Street Address |
1606 S I 35 STE 101 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-7478 |
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|---|---|---|---|---|
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| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1811417397 | Mars S.a. LLC. | Clinic/Center | 437 Mccarty Rd Ste 600, San Antonio, TX 78216-4445 | 2017-06-26 |
| 1689194151 | Medication Assisted Recovery Services Mars, LLC | Clinic/Center | 1101 Arrow Point Dr Ste 214, Cedar Park, TX 78613-7739 | 2017-06-26 |
| 1245765585 | Crossroads Treatment Center of Fort Worth, Pllc | Clinic/Center | 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2017-04-24 |
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1902263478 | Eldorado Texas Community Service Center | Clinic/Center | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-01-28 |
| 1891169215 | Medmark Treatment Centers of Texas,inc | Clinic/Center | 5004 Alameda Ave, El Paso, TX 79905-2804 | 2015-11-23 |
| 1598133472 | Inspired Hope Group LLC | Clinic/Center | 1228 W Scyene Rd Ste 230, Mesquite, TX 75149-3143 | 2015-09-09 |
| 1184036790 | Mcet-waskom Limited Liability Company | Clinic/Center | 670 Spur 156, Waskom, TX 75692-9129 | 2014-06-02 |
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| City | CARROLLTON |
| Zip Code | 75006 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.