NORTH WEST FRONTIER RECOVERY PLLC (NPI# 1730652751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730652751 |
| Entity Type | Organization |
| Organization Name | NORTH WEST FRONTIER RECOVERY PLLC |
| Practice Address |
225 Metro Dr Ste 100 Terrell TX 75160-9103 |
| Practice Telephone | 9724083134 |
| Practice Fax Number | 9724083166 |
| Mailing Telephone | 9724083134 |
| Mailing Fax Number | 9724083166 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CORINA A RIOJAS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9724083134 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crescent Clinic | Doing Business As Name - Organization |
| Street Address |
225 METRO DR STE 100 |
| City | TERRELL |
| State | TX |
| Zip Code | 75160-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888315 | Debra Anne Ofner | Registered Nurse | 900 Morris St, Terrell, TX 75160 | 2018-07-27 |
| 1457837536 | Elyse M Chance | Licensed Vocational Nurse | 455 Heatherlane Circle, Terrell, TX 75160 | 2018-07-12 |
| 1184112542 | Melody Rene Julian | Registered Nurse | 223 Willow Creek Ln, Terrell, TX 75160 | 2018-05-01 |
| 1558776138 | Ivanshu Navinprakash Jain | Psychiatry & Neurology | Terrell State Hospital, 1200 E Brin St, Terrell, TX 75160 | 2014-06-23 |
| 1740535996 | Robert Dominic Recolizado | Physical Therapist | 201 Timber Court, Apt 716, Terrell, TX 75160 | 2012-07-13 |
| 1639436934 | Traci Renee' Longley | Community Health Worker | 15595 Longspur Ln., Terrell, TX 75160 | 2012-04-12 |
| 1275807059 | Sarath C Dwaram | Dentist | 8550 W. Moore Ave, Terrell, TX 75160 | 2012-02-27 |
| 1063745172 | Texas Dentistry for Kids Terrell, Pllc | Dentist | 301 Tanger Dr. Ste# 225, Terrell, TX 75160 | 2009-09-09 |
| 1942375845 | Adapt, Inc. | Durable Medical Equipment & Medical Supplies | 122 Business Circle, Terrell, TX 75160 | 2006-11-24 |
| 1558442616 | Colin M Fairley | Contractor | 122 Buisness Circle, Terrell, TX 75160 | 2006-10-17 |
| Find all providers in zip 75160 | ||||
| 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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| 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 |
| 1821419201 | Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr | Clinic/Center | 2615 S Lancaster Rd, Dallas, TX 75216-3112 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
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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.