Active NPI
Gallus Detox Houston PLLC
- Substance Abuse Rehabilitation Facility
- Spring, TX
National Provider Identifier
1396458477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.