West Texas Counselling and Rehabilitation Program of Midland, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF MIDLAND, INC.

Practice address

2401 W Wall St
Midland, TX 79701-6315

Phone

(432) 687-3945

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ivan Garcia, MD

Title

President

Phone

(432) 687-3945

Specialties & licenses 2

Addresses

Other names 1

• WTCR Midland, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1962533067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303249",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016315",
            "telephone_number": "432-687-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF MIDLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-687-3945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WTCR Midland, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WTCR Midland, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Midland, TX
• Providers in Midland, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.