Medmark Treatment Centers of Texas, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MEDMARK TREATMENT CENTERS OF TEXAS, INC.

Doing business as

MedMark Treatment Centers Center

Practice address

1110 Tenaha St
Center, TX 75935-3036

Phone

(936) 598-5608

NPI assigned

Jul 11, 2016

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDMARK TREATMENT CENTERS OF TEXAS, INCAs reported in NPPES

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

Authorized official

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedMark Treatment Centers Center Doing business as

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

CLIA laboratory certificates

Part of

Medmark TRMT Ctr of TX Inc

Locations

Practitioners 3

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.

• Danna Yvonne Bailey-Watts, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Center, TX
  • NPI 1407432115
  NPD (past)
• Latrise Hewitt, LVN

  • Licensed Vocational Nurse
  • Center, TX
  • NPI 1245623982
  NPD (past)
• Deborah Hudgens

  • Addiction (Substance Use Disorder) Counselor
  • Center, TX
  • NPI 1427441195
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1972955219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TENAHA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353036",
            "telephone_number": "936-598-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMARK TREATMENT CENTERS OF TEXAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDMARK TREATMENT CENTERS OF TEXAS, INC",
        "enumeration_date": "2016-07-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPIOID TREATMENT PROGRAM LICENSE",
            "identifier": "100004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedMark Treatment Centers Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Bailey Mackey, O.D.
• Timothy Ray Magness, FNP-C
• Candace Mahan
• Natasha Michell Malone, RN
• Mireya Noemi Martinez, DDS
• MH Health Care Services, PC
• Suzanne Emery Middlebrook, P.A.
• Keith E Miller, MD
• Melonia Molloy, PTA
• Cathey Louise Monk, LVN

• Substance Use Disorder Rehabilitation Clinic/Center in Center, TX
• Providers in Center, 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 Jul 29, 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.