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Organization

PHOENIX HOUSES OF TEXAS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BART R LOEWEN (PRESIDENT & CEO)
(214) 920-1628
Entity
Organization

Contact information

Practice address
2525 NORTH LOOP W STE 100, HOUSTON, TX 77008-1024
(713) 426-2637
(713) 862-1849
Mailing address
1910 PACIFIC AVE STE 10500, DALLAS, TX 75201-4591
(214) 920-1628
(214) 351-0967

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
865-3340
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319371601
TX
01
865-4388
FACILITY LICENSE
TX
Enumeration date
09/12/2012
Last updated
05/11/2022
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