NPIMap

Organization Active NPI

Recovery Medical Group, PA

  • Substance Abuse Rehabilitation Facility
  • South Padre Island, TX
National Provider Identifier
1205113255
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
J7546 Issued in TX
Legal business name
RECOVERY MEDICAL GROUP, PA
Practice address
4610 Padre Blvd
South Padre Island, TX 78597-7327
Phone
(956) 772-9200
Fax
(956) 772-9201
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alejandro Dario Kudisch, M.D.,D.F.A.P.A.NPI 1992776363
Title
Ceo/ Psychiatrist
Phone
(956) 687-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X J7546 TX Primary

Addresses

Primary practice location

4610 Padre Blvd
South Padre Island, TX 78597-7327

Mailing address

PO Box 2078
McAllen, TX 78505-2078
Phone (956) 800-4014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1205113255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785052078",
            "telephone_number": "956-800-4014",
            "fax_number": "956-800-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 PADRE BLVD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977327",
            "telephone_number": "956-772-9200",
            "fax_number": "956-772-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "KUDISCH",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "CEO/ PSYCHIATRIST",
        "authorized_official_telephone_number": "956-687-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,D.F.A.P.A."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "J7546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.