MEDICARE: HOUSTON TREATMENT CENTER

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1053622324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON TREATMENT CENTER

Provider Business Mailing Address
First Line	:	1050 EDGEBROOK DR STE 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-1800
Country	:	US
Telephone Number	:	713-947-1773
Fax Number	:	713-947-0610

Provider Business Practice Location Address
First Line	:	1050 EDGEBROOK DR STE 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-1800
Country	:	US
Telephone Number	:	713-947-1773
Fax Number	:	713-947-0610

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	AVIS BROOKS
Credential	:
Telephone Number	:	713-947-1773

Provider Enumeration Date	:	07/01/2010
Last Update Date	:	03/02/2026

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Directions to “HOUSTON TREATMENT CENTER ” Practice Location

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