Organization
CENIKOR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
4525 GLENWOOD AVENUE, DEER PARK, TX 77536
(281) 476-0088
(281) 476-5581
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
(713) 266-9944
(713) 574-2940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
316316B
TX
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/12/2010
Last updated
09/28/2025
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