Organization Active NPI

Gallus Detox Houston PLLC

  • Substance Abuse Rehabilitation Facility
  • Spring, TX
National Provider Identifier
1396458477
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GALLUS DETOX HOUSTON PLLC
Practice address
2490 FM 2920 Rd # 102
Spring, TX 77388-3417
Phone
(844) 548-0199
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Ms. Georgina Carroll
Title
Director of Clinical Operations
Phone
(928) 533-0872

Specialties & licenses 1

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

Addresses

Primary practice location

2490 FM 2920 Rd # 102
Spring, TX 77388-3417

Mailing address

225 E 16TH Ave Ste 1100
Denver, CO 80203-1615
Phone (720) 501-2225

National Provider Directory

National Provider Directory

Locations

225 E 16th Ave
Ste 1100
Denver, CO 80203

2490 FM 2920 Rd
#102
Spring, TX 77388
Phone (844) 548-0199

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1396458477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 16TH AVE STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031615",
            "telephone_number": "720-501-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 FM 2920 RD # 102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883417",
            "telephone_number": "844-548-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "928-533-0872",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.