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Contact Information

ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS, PLLC
6950 SHADY LN
SCURRY, TX75158-2831
 Phone: 972-452-2210
 Fax: 469-721-6767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Bariatric Medicine

2084B0002X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ADDICTION CAMPUSES PROFESSIONAL SERVICES OF TEXAS PLLC · (Female)

NPI # 1477165660
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2020
Last updated 05/05/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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