Restore Fx in Austin - Addiction (substance Use Disorder)
Restore Fx - NPI 1467630608
Restore Fx is a Addiction (substance Use Disorder) in Austin, Texas. Restore Fx practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Restore Fx is 1467630608. The last update date is 2012-10-22.
Restore Fx's current location address is 4534 W Gate Blvd, Austin, Texas. You can contact this provider via phone number 5124397360. The mailing address for Restore Fx is 4534 W Gate Blvd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Restore Fx |
|---|---|
| Address | 4534 W Gate Blvd, Austin, Texas |
| Phone Number | 5124397360 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Sims P. Tykeisha |
| Telephone Number | 5123342149 |
NPI Number Detail
| NPI Number | 1467630608 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2012-10-22 |
Provider Mailing Address Detail
| Address | 4534 W Gate Blvd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787451485 |
| Phone Number | 5124397360 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | F5318 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Restore Fx by the Centers for Medicare & Medicaid Services?
The Restore Fx has been issued the NPI (National Provider Identifier) 1467630608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Restore Fx is geographically located?
The Restore Fx is physically situated at the following location: 4534 W Gate Blvd, Austin, TX, 787451485.
What is Restore Fx's area of expertise and its corresponding taxonomy classification?
The Restore Fx's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Restore Fx receive its 1467630608 assignment from the Centers for Medicare & Medicaid Services?
The Restore Fx was assigned its 1467630608 on 2008-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Restore Fx, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Restore Fx, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-22.