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NPI Code Detail

MEDICARE: ASCEND RECOVERY, LLC

MEDICARE: ASCEND RECOVERY, LLC
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
1261QE0002XEmergency Care Clinic/Center

General Provider Information

NPI Number : 1790316016
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCEND RECOVERY, LLC
Provider Business Mailing Address
First Line : 6030 S RICE AVE STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2944
Country : US
Telephone Number : 713-660-0557
Fax Number :
Provider Business Practice Location Address
First Line : 19211 MCKAY DR
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 713-660-0555
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : TOM VO
Credential : MD
Telephone Number : 713-660-0557
Provider Enumeration Date : 01/27/2020
Last Update Date : 01/27/2020

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Directions to “ASCEND RECOVERY, LLC ” Practice Location

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