MEDICARE: TEXAS TREATMENT SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	251B00000X	Case Management Agency	TX
2	251S00000X	Community/Behavioral Health Agency
3	261QM2800X	Methadone Clinic

General Provider Information

NPI Number	:	1255577318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS TREATMENT SERVICES, LLC

Provider Business Mailing Address
First Line	:	7136 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-6373
Country	:	US
Telephone Number	:	817-334-0111
Fax Number	:	817-334-0249

Provider Business Practice Location Address
First Line	:	700 HEMPHILL ST STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3105
Country	:	US
Telephone Number	:	817-334-0111
Fax Number	:	817-334-0249

Authorized Official
Title or Position	:	CEO
Name	:	SCOTT THOMPSON
Credential	:
Telephone Number	:	918-289-0270

Provider Enumeration Date	:	12/19/2008
Last Update Date	:	02/25/2025

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