Cleanslate Medical Group Of Texas Pllc

LBN: Cleanslate Medical Group Of Texas Pllc
Cleanslate Medical Group Of Texas Pllc is an health care organization with primary practice located at 2912 Kraft St Ste 30 , Arlington TX 76010-5410. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Cleanslate Medical Group Of Texas Pllc can be contacted via phone (413) 584-2173, or through Amick, Jessica via phone (727) 798-8160.

Contact Information

Primary practice address
2912 Kraft St Ste 30 Arlington TX 76010-5410
Phone: (413) 584-2173
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Amick, Jessica
Phone: (727) 798-8160

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1487192522
LBN Legal business name Cleanslate Medical Group Of Texas Pllc
DBA Doing business as
Authorized official Amick, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2017
Last updated Mar 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers