MEDICARE: EATING RECOVERY CENTER OF TEXAS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	133N00000X	Nutritionist
3	133NN1002X	Nutrition Education Nutritionist
4	133V00000X	Registered Dietitian
5	207Q00000X	Family Medicine Physician
6	261QM0855X	Adolescent and Children Mental Health Clinic/Center
7	208D00000X	General Practice Physician
8	2084P0800X	Psychiatry Physician
9	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1326350513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EATING RECOVERY CENTER OF TEXAS

Provider Business Mailing Address
First Line	:	7351 E. LOWRY BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230
Country	:	US
Telephone Number	:	877-825-8584
Fax Number	:	512-480-0895

Provider Business Practice Location Address
First Line	:	511 OAKWOOD BLVD STE 100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4068
Country	:	US
Telephone Number	:	877-825-8584
Fax Number	:

Authorized Official
Title or Position	:	MANAGER, CREDENTIALING
Name	:	JESS JOSLIN
Credential	:
Telephone Number	:	303-731-8164

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	12/15/2025

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Practice Location Address:

511 OAKWOOD BLVD STE 150
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78681-4068

Practice Phone: 248-629-2176
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1285675264 — STEPHANIE SMOLEN MICHEL M.D.
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511 OAKWOD BLVD , SUITE 301
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1548293491 — DR. DOUGLAS J GRIMM DPM
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7700 CAT HOLLOW DRIVE , SUITE 102
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Practice Fax: 512-733-8602

1720196033 — DR. MICHAEL DEAN MARTIN MD
Practice Location Address:

511 OAKWOOD BLVD STE 200
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Practice Fax:

1356480669 — MARK EDWARD MAUNDER MD
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1104965417 — PAUL BRIDGES MURPHREE JR. MD
Practice Location Address:

511 OAKWOOD BLVD , SUITE 301
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Practice Fax: 512-244-0214

Directions to “EATING RECOVERY CENTER OF TEXAS ” Practice Location

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