Organization
PHOENIX HOUSES OF TEXAS, INC
Active
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
2345 REAGAN ST, DALLAS, TX 75219-3225
(214) 999-1044
(214) 526-3285
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
Primary
865
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065459201
—
TX
05
—
170251601
—
TX
05
—
319371601
—
TX
05
—
335999401
—
TX
01
—
865-865M
STATE OF TEXAS
—
01
—
865-865P
STATE OF TEXAS
—
Enumeration date
02/26/2007
Last updated
12/20/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up