Huntsville Clinic, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

TX10096M Issued in TX

Legal business name

HUNTSVILLE CLINIC, INC

Practice address

829 10TH St
Huntsville, TX 77320-4721

Phone

(936) 291-9172

Fax

(936) 291-7156

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Rae Harris, L.C.D.C.

Title

Ceo/Program Sponsor

Phone

(936) 524-2140

Specialties & licenses 1

Addresses

Tax ID family

Huntsville Clinic Inc2 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.

• Huntsville Clinic, Inc.

  • Methadone Clinic
  • Conroe, TX
  • NPI 1003121526
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Huntsville Clinic, Inc.

  • Methadone Clinic
  • Conroe, TX
  • NPI 1003121526
  NPPES parent name

Practitioners 1

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

• Hung Trong Dao, M.D.

  • General Practice Physician
  • Huntsville, TX
  • NPI 1477810877
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1265615462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 10TH ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773204721",
            "telephone_number": "936-291-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 10TH ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773204721",
            "telephone_number": "936-291-9172",
            "fax_number": "936-291-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO/PROGRAM SPONSOR",
        "authorized_official_telephone_number": "936-524-2140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "TX10096M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Hu, PHARMD
• Jill Huber, PTA
• Dennis Craig Hughes, PT
• Brooke Bailey Humphrey
• Werdah Hunain, M.D.
• Huntsville Community Hospital, Inc.
• Huntsville Community Hospital, Inc.
• Huntsville Community Hospital, Inc.
• Huntsville Community Hospital, Inc.
• Huntsville Community Hospital, Inc.

• Methadone Clinic in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.