Organization
AMERICAN RECOVERY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ARIF (OWNER)
(903) 753-7333
Entity
Organization
Contact information
Practice address
3217 4TH ST, LONGVIEW, TX 75605-5145
(903) 753-7333
Mailing address
3217 4TH ST, LONGVIEW, TX 75605-5145
(903) 753-7333
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD436507
STATE LICENSE
PA
01
—
S1757
STATE LICENSE
TX
Enumeration date
02/24/2020
Last updated
02/21/2024
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