Vcphcs Xviii,LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

1000039 Issued in TX

Legal business name

VCPHCS XVIII,LLC

Doing business as

Texas Treatment Center-Center

Practice address

1110 Tenaha St
Suite 5
Center, TX 75935-3036

Phone

(936) 598-6608

Fax

(936) 598-6618

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Frederick Draudt

Title

Coo

Phone

(214) 365-6111

Specialties & licenses 1

Addresses

Other names 1

• Texas Treatment Center-Center Doing business as

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1730525759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE",
            "address_2": "SUITE 750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255603",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TENAHA ST",
            "address_2": "SUITE 5",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353036",
            "telephone_number": "936-598-6608",
            "fax_number": "936-598-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS XVIII,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "DRAUDT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-365-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "1000039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Treatment Center-Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.