NPIMap

Organization Active NPI

Gallus Detox Houston LLC

  • Substance Abuse Rehabilitation Facility
  • Sugar Land, TX
National Provider Identifier
1235488164
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH3852 Issued in AZ
Legal business name
GALLUS DETOX HOUSTON LLC
Practice address
16000 Southwest Fwy
Sugar Land, TX 77479-2673
Phone
(928) 227-2300
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Patrick John Gallus, DO
Title
Ceo
Phone
(928) 227-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH3852 AZ Primary

Addresses

Primary practice location

16000 Southwest Fwy
Sugar Land, TX 77479-2673

Mailing address

134 S Granite St
Prescott, AZ 86303-4710
Phone (928) 227-2300

National Provider Directory

National Provider Directory
Tax ID family
Gallus Detox Dallas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 S Granite St
Prescott, AZ 86303
Phone (928) 227-2300

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1235488164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S GRANITE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034710",
            "telephone_number": "928-227-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792673",
            "telephone_number": "928-227-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "GALLUS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-227-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.