Medmark Treatment Centers Fort Worth

LBN: Medmark Treatment Centers Of Texas, Inc
Medmark Treatment Centers Fort Worth is an health care organization with primary practice located at 5201 Mccart Ave Suite H, Fort Worth TX 76115-3711. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Medmark Treatment Centers Of Texas, Inc can be contacted via phone (817) 207-8700, or through Saul, Michael via phone (214) 379-3300.

Contact Information

Primary practice address
5201 Mccart Ave Suite H Fort Worth TX 76115-3711
Fax: (817) 207-8778
Website:
Authorized official contact:
Name: Saul, Michael

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 1000027 Texas
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1000027 Texas

Profile Details

NPI number 1770781106
LBN Legal business name Medmark Treatment Centers Of Texas, Inc
DBA Doing business as Medmark Treatment Centers Fort Worth
Authorized official Saul, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2007
Last updated Feb 13th, 2024 - about 10 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770781106 NPPES
Texas Other 1000027 LICENSE
Texas MEDICAID 285947202 LICENSE

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