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General NPI Number Information
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NPI Number | 1871225102
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Entity Type | Organization
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Legal Business Name | NEXUS NEURORECOVERY CENTER- SAN ANTONIO
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 227 LEWIS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5515
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Country | US
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Telephone | 713-355-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RIVERWAY STE 700
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City | HOUSTON
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State | TX
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Zip | 77056-1988
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Country | US
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Telephone | 713-589-4136
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ERIN CASSIDY
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Credential |
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Telephone | 713-589-4136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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