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General NPI Number Information
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NPI Number | 1497611149
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Entity Type | Organization
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Legal Business Name | DFW DRUG REHAB, LLC
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 11318 SIR WINSTON ST BLDG C
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 469-871-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 11318 SIR WINSTON ST BLDG C
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | STEPHANE MARION
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Credential |
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Telephone | 956-371-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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