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NPI Code Detail

MEDICARE: INFINITY BEHAVIORAL HEALTH OF TEXAS

MEDICARE: INFINITY BEHAVIORAL HEALTH OF TEXAS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1275171639
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY BEHAVIORAL HEALTH OF TEXAS
Provider Business Mailing Address
First Line : 4739 QUEENS CARRIAGE ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-3230
Country : US
Telephone Number : 225-278-6607
Fax Number :
Provider Business Practice Location Address
First Line : 363 N SAM HOUSTON PKWY E
Second Line :
City : HOUSTON
State : TX
Zip : 77060-2404
Country : US
Telephone Number : 225-278-6607
Fax Number :
Authorized Official
Title or Position : CEO
Name : MERIAN CARTER
Credential :
Telephone Number : 225-278-6607
Provider Enumeration Date : 12/17/2019
Last Update Date : 12/17/2019

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Directions to “INFINITY BEHAVIORAL HEALTH OF TEXAS ” Practice Location

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