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NPI Code Detail

MEDICARE: METRO TREATMENT OF TEXAS LP

MEDICARE: METRO TREATMENT OF TEXAS LP
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 Agency1000040TX
23336C0002XClinic PharmacyDPS W0197363TX
3261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1457793861
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO TREATMENT OF TEXAS LP
Provider Business Mailing Address
First Line : 2500 MAITLAND CENTER PARKWAY
Second Line : SUITE 250
City : MAITLAND
State : FL
Zip : 32751-4174
Country : US
Telephone Number : 507-351-7080
Fax Number : 407-351-6930
Provider Business Practice Location Address
First Line : 3615 CULEBRA RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78228-5914
Country : US
Telephone Number : 210-314-6473
Fax Number : 210-314-8676
Authorized Official
Title or Position : CFO
Name : MARIA JACKSON
Credential :
Telephone Number : 407-351-7080
Provider Enumeration Date : 07/26/2013
Last Update Date : 11/04/2022

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Directions to “METRO TREATMENT OF TEXAS LP ” Practice Location

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