National Provider Identifier Database

THE POLO GROUP LLC
Rehabilitation, Substance Use Disorder

Contact Information

THE POLO GROUP LLC
1626 W HIGHWAY 287 BUSINESS STE 101
WAXAHACHIE, TX  75165-4728
Phone: 972-906-9112
Fax: 972-906-9112
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Community/Behavioral Health 251S00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder Unit 276400000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for THE POLO GROUP LLC

NPI Number 1083233498
Legal business name
LBN		 THE POLO GROUP LLC
Authorized official LILLIAM POLO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/15/2020
Last updated 04/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 1013287721

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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