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NPI Code Detail

MEDICARE: ELDORADO TEXAS COMMUNITY SERVICE

MEDICARE: ELDORADO TEXAS COMMUNITY SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1538485693
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDORADO TEXAS COMMUNITY SERVICE
Provider Business Mailing Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 661-254-6630
Fax Number : 661-254-6644
Provider Business Practice Location Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 661-254-6630
Fax Number : 661-254-6644
Authorized Official
Title or Position : DIRECTOR OF ADMINISTRATION
Name : MR. PRAMESH P SHARMA
Credential :
Telephone Number : 661-254-6630
Provider Enumeration Date : 04/14/2010
Last Update Date : 08/30/2022

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Directions to “ELDORADO TEXAS COMMUNITY SERVICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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