PHOENIX HOUSES OF TEXAS, INC (NPI# 1639636335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639636335 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF TEXAS, INC |
| Other Organization Name | PHOENIX HOUSES OF TEXAS, INC. |
| Practice Address |
1135 Mission Rd Bldg 2 San Antonio TX 78210-4505 |
| Mailing Address |
1910 Pacific Ave Ste 10500 Dallas TX 75201-4591 |
| Practice Telephone | 5124400613 |
| Mailing Telephone | 2149201628 |
| Mailing Fax Number | 2143510967 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | BART R LOEWEN (DIRECTOR OF FINANCE & OPERATIONS) |
| Authorized Official Telephone | 2149201628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 396608701 | 05 | |
| TX | STATE OF TEXAS | 865-4403 | 01 |
| Other Name | Type Code |
|---|---|
| Phoenix Houses of Texas, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306259932 | Phoenix Houses of Texas, Inc | Clinic/Center | 211 Commerce Blvd, Suite 107, Round Rock, TX 78664-2184 | 2014-06-11 |
| Street Address |
1135 MISSION RD BLDG 2 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78210-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265081657 | Jose M Pena | Home Health Aide | 816 Florida St, San Antonio, TX 78210 | 2019-09-09 |
| 1518346667 | Joshua Urteaga | Family Medicine | 1910 S New Braunfels, San Antonio, TX 78210 | 2015-05-21 |
| 1316363005 | Rehab Trifecta, LLC | Home Health | 213 Sadie Street, San Antonio, TX 78210 | 2014-03-05 |
| 1518233147 | Joshua Jonathon Pierpont | Physician Assistant | Fort Bragg, Apo, AA 78210 | 2012-03-28 |
| 1649563016 | Raul Ureste | Counselor | 305 E. Mitchell, San Antonio, TX 78210 | 2011-05-18 |
| 1437232204 | Herbert J Robinson | General Practice | 414 Vine St, San Antonio, TX 78210 | 2006-10-23 |
| 1033107131 | Stephen Edward Brick Sr. | Physician Assistant | 659 Steves Ave, Concentra At L&h Packing, San Antonio, TX 78210 | 2005-10-12 |
| 1558847657 | Hirut Mesele | Nurse Practitioner | 512 E Highland Blvd Ste 150, San Antonio, TX 78210 | 2018-07-12 |
| 1720243934 | Evelyn Ann Hettler-lopez | Physician Assistant | 1910 S New Braunfels Ave, San Antonio, TX 78210 | 2008-07-28 |
| 1760732903 | Danielle Andrea Gardea | Counselor | 111 Camargo St, San Antonio, TX 78210-1011 | 2012-09-14 |
| Find all providers in zip 78210 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742198 | Serenity Oaks, Pllc | Clinic/Center | 5368 Fredericksburg Rd Ste 100, San Antonio, TX 78229-6108 | 2019-04-20 |
| 1548784705 | Clayton & Blue Recovery | Clinic/Center | 7603 Caballo Cyn, San Antonio, TX 78244-3513 | 2017-07-31 |
| 1336599182 | Soba Texas LLC | Clinic/Center | 1401 Dezarae, Lot 4, San Antonio, TX 78253 | 2016-06-13 |
| 1639491970 | Alpha Home Inc | Clinic/Center | 300 E Mulberry Ave, San Antonio, TX 78212-3023 | 2010-02-26 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| 1841768702 | Onto Treatment Center | Clinic/Center | 23103 Ih 10 W Ste 105, San Antonio, TX 78257-1689 | 2018-11-08 |
| 1700393972 | Nuhope Sa Recovery LLC | Clinic/Center | 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 | 2018-01-09 |
| 1780031237 | Taj Management, LLC | Clinic/Center | 10730 Potranco Rd, Ste 122-242, San Antonio, TX 78251-3327 | 2016-05-14 |
| 1912382748 | The Best Option, Limited Liability Company | Clinic/Center | 3700 Fredericksburg Rd Ste 137, San Antonio, TX 78201-3268 | 2015-07-22 |
| 1942434725 | San Antonio Lifetime Recovery, Inc. | Clinic/Center | 10290 Southton Rd, San Antonio, TX 78223-4835 | 2009-05-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78210 |
Please comment or provide details below to improve the information on PHOENIX HOUSES OF TEXAS, INC.
| 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.