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NPI Code Detail

MEDICARE: CENIKOR FOUNDATION

MEDICARE: CENIKOR FOUNDATION
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
1207R00000XInternal Medicine Physician
2208000000XPediatrics Physician
3324500000XSubstance Abuse Rehabilitation Facility4255-4261TX
4207Q00000XFamily Medicine Physician
5207QA0401XAddiction Medicine (Family Medicine) Physician
6207RG0300XGeriatric Medicine (Internal Medicine) Physician
7208D00000XGeneral Practice Physician
8261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1386143022
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENIKOR FOUNDATION
Provider Business Mailing Address
First Line : PO BOX 4785
Second Line : MSC 675
City : HOUSTON
State : TX
Zip : 77210
Country : US
Telephone Number : 713-266-9944
Fax Number : 713-574-2940
Provider Business Practice Location Address
First Line : 1001 WALLACE BLVD
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1735
Country : US
Telephone Number : 806-350-2723
Fax Number : 806-350-7553
Authorized Official
Title or Position : CFO
Name : MATT KUHLMAN
Credential :
Telephone Number : 713-266-9944
Provider Enumeration Date : 02/08/2018
Last Update Date : 12/09/2025

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Directions to “CENIKOR FOUNDATION ” Practice Location

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