ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC


Address: 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989
Phone: 5125778666

ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC (NPI# 1750657920) 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) 1750657920
Entity Type Organization
Organization Name ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC
Practice Address 37131 Interstate 10 W
Suite 101
Boerne
TX 78006-8989
Practice Telephone 5125778666
Practice Fax Number 8302554660
Mailing Telephone 5125778666
Enumeration Date 2012-03-31
Last Update Date 2014-10-07
Authorized Official Name DR. JEFFREY L BUTTS (MEDICAL DIRECTOR)
Authorized Official Telephone 5124268343
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 672526 TX Physician Assistants & Advanced Practice Nursing Providers
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
H7939 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX NPI 1023287794 01

Office Location

Street Address 37131 INTERSTATE 10 W
SUITE 101
City BOERNE
State TX
Zip Code 78006-8989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831246842 Jeffrey L Butts Family Medicine 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 2007-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218517 Boerne Mens Clinic Family Medicine 138 Tx-46, Boerne, TX 78006 2020-09-01
1700431798 Methodist Ambulatory Surgery Center of Boerne, LLC Clinic/Center 110 Menger Springs, Boerne, TX 78006 2019-08-06
1144704156 Lauren Elizabeth Settle Counselor 26254 Interstate 10, Suite 224, Boerne, TX 78006 2018-09-17
1265914600 Shana North Physical Therapy Assistant 200 Ryan Street, Boerne, TX 78006 2018-09-02
1598258352 Alamo Prosthetics LLC Durable Medical Equipment & Medical Supplies 28711 I 10 W, Boerne, TX 78006 2018-06-07
1578052312 Premium Pharma, LLC Pharmacy 1 Fm 3351 S Ste 115, Boerne, TX 78006 2018-05-08
1952814386 Advanced Surgical Care of Boerne, LLC Clinic/Center 138 Old San Antonio Rd # 400, Boerne, TX 78006 2017-11-07
1184151532 River Road Pharmacy Pharmacy 910 River Rd Ste 103, Boerne, TX 78006 2017-05-16
1487191565 Olive Branch Hope Center, Inc Counselor 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 2017-01-26
1063955367 Leigh Ann Grasso Pharmacist 31007 Ih 10 W, Ste 108, Boerne, TX 78006 2016-11-18
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831246842 Jeffrey L Butts Family Medicine 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 2007-01-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215586532 Salvation' International Mission Family Medicine 1341 County Road 557, Farmersville, TX 75442-7081 2019-09-09
1598036642 James Thomas Payte Family Medicine 260 Panther Xing, Wimberley, TX 78676-5767 2012-01-21
1255535829 Karen Quintavell Radcliffe Family Medicine 201 Enterprise Avenue, Suite 800, League City, TX 77573 2007-06-14
1710037023 Candace Freeman Mcdaniel Family Medicine 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 2007-01-11
1942373816 Texas Avenue Medical Clinic Family Medicine 1703 E 29th Street, Bryan, TX 77802 2006-11-16
1881783413 Edward P Tyson Family Medicine 3811 Bee Caves Rd, Ste 200, Austin, TX 78746-6459 2006-10-12
1780693911 Robert M. Leath Family Medicine 3033 North Gessner Drive, Suite 1106, Houston, TX 77080 2006-08-05
1639114176 Samuel B. Ganz Family Medicine 13509 Camino De Plata Ct, Corpus Christi, TX 78418-6966 2006-06-18
1255329694 Katherine H Thompson Family Medicine 6300 Richmond Ave, Houston, TX 77057 2005-10-10
1568460962 Carroll Wayne Thornburg Family Medicine 725 S Mesa Hills Dr, Suite 1, Bldg. 1, El Paso, TX 79912-5568 2005-07-08
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Competitor

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City BOERNE
Zip Code 78006

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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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