Mark S. Greer

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

3260 Issued in TX

Legal business name

MARK S. GREER

Practice address

3305 North St
Nacogdoches, TX 75965-2690

Phone

(936) 559-9422

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mark Greer

Title

Chief Executive Officer

Phone

(936) 559-9422

Specialties & licenses 2

Addresses

Other names 1

• Deer Creek Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1295065472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652690",
            "telephone_number": "936-559-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652690",
            "telephone_number": "936-559-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. GREER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "936-559-9422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3260",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Creek Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malonegrove Family Care & Rehabilitation LLC
• H. Lance Mandell, M.D.
• Marian Kathleen Querry DO PC
• Mark E Sowell DPM Inc
• Mark Lanier OD PC
• Gia Elena Marotta, M.D.
• Adlai Travis Mast III, MD
• Bill Jeffrey Mathias, MD
• Yuko Matsushima
• Marissa Matzenauer

• Substance Abuse Rehabilitation Facility in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.