Medmark Treatment Centers- Stockton, Inc in Lewisville - Methadone

Medmark Treatment Centers- Stockton, Inc - NPI 1851453500

Medmark Treatment Centers- Stockton, Inc is a Methadone in Lewisville, Texas. Medmark Treatment Centers- Stockton, Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Medmark Treatment Centers- Stockton, Inc is 1851453500. The last update date is 2023-02-21.

Medmark Treatment Centers- Stockton, Inc's current location address is 1720 Lakepointe Dr Ste 117, Lewisville, Texas. You can contact this provider via phone number 2143793300 and fax number 2148539018. The mailing address for Medmark Treatment Centers- Stockton, Inc is 1720 Lakepointe Dr Ste 117, Lewisville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medmark Treatment Centers- Stockton, Inc
Address 1720 Lakepointe Dr Ste 117, Lewisville, Texas
Phone Number 2143793300
Fax Number 2148539018
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP, TREASU
Authorized Official Name D'Andria Genco
Telephone Number 2143793300

NPI Number Detail

NPI Number 1851453500
Provider Enumeration Date 2006-12-15
Last Updated Date 2023-02-21

Provider Mailing Address Detail

Address 1720 Lakepointe Dr Ste 117
City Lewisville
State Texas (TX)
Post Code 750576425
Phone Number 2143793300
Fax Number 2148539018

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No 39-07
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
48AC CA MEDI-CAL
48-AC CA --

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FAQs about Medmark Treatment Centers- Stockton, Inc

What is the unique 10-digit identification code issued to Medmark Treatment Centers- Stockton, Inc by the Centers for Medicare & Medicaid Services?

The Medmark Treatment Centers- Stockton, Inc has been assigned the NPI (National Provider Identifier) 1851453500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Medmark Treatment Centers- Stockton, Inc?

The Medmark Treatment Centers- Stockton, Inc is physically situated at 1720 Lakepointe Dr Ste 117, in the city of Lewisville, state of TX, with the postal code 750576425.

What is Medmark Treatment Centers- Stockton, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Medmark Treatment Centers- Stockton, Inc is Methadone, and the taxonomy classification code that categorizes this area of expertise is 261Qm2800X.

When was the Medmark Treatment Centers- Stockton, Inc's 1851453500 issued?

The Medmark Treatment Centers- Stockton, Inc's 1851453500 was issued on 2006-12-15.

As of what date was the information regarding Medmark Treatment Centers- Stockton, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Medmark Treatment Centers- Stockton, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-21.

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