DFW DRUG REHAB, LLC


Address: 1251 S Sherman St Ste 110, Richardson, TX 75081-6509
Phone: 4692717926

DFW DRUG REHAB, LLC (NPI# 1548860406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548860406
Entity Type Organization
Organization Name DFW DRUG REHAB, LLC
Practice Address 1251 S Sherman St Ste 110
Richardson
TX 75081-6509
Practice Telephone 4692717926
Mailing Telephone 4692717926
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Authorized Official Name RYAN NODURFT (CLINICAL DIRECTOR)
Authorized Official Telephone 4692717926
Authorized Official Credential LCSW, LCDC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 1251 S SHERMAN ST STE 110
City RICHARDSON
State TX
Zip Code 75081-6509

Providers in the same zip code

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1831732890 Cielo Camille Lopez Registered Nurse 908 Audelia Rd St. 200-pmb 170, Richardon, TX 75081 2019-10-23
1154963007 Alex Robert Langford Technician, Other 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 2019-10-11
1427530849 Ladasha Danelle Gregory Occupational Therapy Assistant 744 Brick Row Dr Apt 2226, Richardson, TX 75081 2018-09-01
1013403427 Camp Medical Management, LLC Social Worker 208 W. Spring Valley Rd, Richardson, TX 75081 2018-07-09
1710486238 Sara Nourani-dargiri Optometrist 1332 S. Plano Rd Ste 112, Richardson, TX 75081 2018-02-10
1174044895 Rebecka Kay Haats Dentist 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 2017-07-03
1225418635 Elizabeth Bands Pharmacist 930 East Campbell, Suite 200, Richardson, TX 75081 2015-06-02
1518344597 Relationship Resolve Public Health or Welfare 800 Security Row, Suite 2, Richardson, TX 75081 2015-04-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City RICHARDSON
Zip Code 75081

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Dataset Information

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.

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