Healthcare Provider Details

I. General information

NPI: 1033438775
Provider Name (Legal Business Name): TOXICOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2010
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 BELLAIRE BLVD SUITE 12
HOUSTON TX
77074-3509
US

IV. Provider business mailing address

6910 BELLAIRE BLVD SUITE 12
HOUSTON TX
77074-3509
US

V. Phone/Fax

Practice location:
  • Phone: 713-541-3218
  • Fax: 713-541-3217
Mailing address:
  • Phone: 713-541-3218
  • Fax: 713-541-3217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC G COMSTOCK
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 713-541-3218