Gallus Detox Dallas LLC

Primary specialty

Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X

Legal business name

GALLUS DETOX DALLAS LLC

Practice address

26791 US Highway 380 E
Aubrey, TX 76227-7654

Phone

(281) 277-0911

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Patrick John Gallus, M.D.

Title

President

Phone

(928) 227-2300

Specialties & licenses 2

Addresses

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.

• Gallus Detox Houston LLC

  • Substance Abuse Rehabilitation Facility
  • Sugar Land, TX
  • NPI 1235488164
  NPD tax ID

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1659616647",
    "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",
            "fax_number": "928-445-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26791 US HIGHWAY 380 E",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277654",
            "telephone_number": "281-277-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX DALLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "GALLUS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-227-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Aubrey, TX
• Providers in Aubrey, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.