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
211 COMMERCE BLVD, SUITE 107, ROUND ROCK, TX 78664-2184
(512) 541-6097
Mailing address
1910 PACIFIC AVE STE 10500, DALLAS, TX 75201-4591
(214) 920-1628
(214) 351-0967
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
865-865M
TX
261QM1300X
Multi-Specialty Clinic/Center
865-865P
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
865-3340
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
865-3572
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
865-3729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065459201
—
TX
05
—
170251601
—
TX
05
—
319371601
—
TX
05
—
330736501
—
TX
05
—
335999401
—
TX
Enumeration date
06/11/2014
Last updated
05/11/2022
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