Organization
S T E P MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAMESH PRAKASH SHARMA (DIRECTOR OF ADMINISTRATION)
(661) 313-5503
Entity
Organization
Contact information
Practice address
2929 MARTIN LUTHER KING BLVD SUITE 4, DALLAS, TX 75215-2322
(214) 421-9100
(214) 421-9700
Mailing address
954 E MADISON ST, BROWNSVILLE, TX 78520-5950
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0000078
TX
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000062
STATE NTP LICENSE
TX
01
—
550048
NORTHSTAR
TX
Enumeration date
01/29/2007
Last updated
08/30/2022
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