Organization Active NPI

Recovery Medicine, PLLC

  • Clinic/Center
  • Ingram, TX
National Provider Identifier
1841038023
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RECOVERY MEDICINE, PLLC
Practice address
3300 Junction Hwy
Ingram, TX 78025-3267
Phone
(830) 201-0880
Fax
(830) 323-0127
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Katherine McQueen, MDNPI 1609965078
Title
Managing Member
Phone
(830) 201-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3300 Junction Hwy
Ingram, TX 78025-3267

Mailing address

PO Box 34
Ingram, TX 78025-0034
Phone (830) 201-0880

Other names 1

  • Recovery Medicine, PLLC Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2306563Recovery Medicine3300 Junction Hwy, Ingram, TX 78025Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1841038023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "INGRAM",
            "state": "TX",
            "postal_code": "780250034",
            "telephone_number": "830-201-0880",
            "fax_number": "830-323-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 JUNCTION HWY",
            "city": "INGRAM",
            "state": "TX",
            "postal_code": "780253267",
            "telephone_number": "830-201-0880",
            "fax_number": "830-323-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "830-201-0880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Medicine, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ingram, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.