Active NPI
Vcphcs Xxii, LLC
- Methadone Clinic
- Lufkin, TX
National Provider Identifier
1124464136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 1000038
- Legal business name
- VCPHCS XXII, LLC
- Practice address
- 105 E Bremond Ave
Lufkin, TX 75901-3025 - Phone
- (936) 637-2223
- Fax
- (936) 637-2220
- NPI assigned
- May 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Frederick Draudt
- Title
- Coo
- Phone
- (214) 365-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 1000038 | TX | Primary |
Addresses
Primary practice location
105 E Bremond Ave
Lufkin, TX 75901-3025
Mailing address
8300 Douglas Ave
Suite 750
Dallas, TX 75225-5603
Phone (214) 365-6100
Other names 1
- BHG Lufkin Treatment Center
National Provider Directory
National Provider DirectoryLocations
105 E Bremond Ave
Lufkin, TX 75901
Phone (936) 637-2223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368662400000",
"number": "1124464136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 DOUGLAS AVE",
"address_2": "SUITE 750",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255603",
"telephone_number": "214-365-6100",
"fax_number": "214-365-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E BREMOND AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759013025",
"telephone_number": "936-637-2223",
"fax_number": "936-637-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VCPHCS XXII, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A",
"authorized_official_last_name": "DRAUDT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "214-365-6111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "TX",
"license": "1000038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BHG Lufkin Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.