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Organization

PHGTX INC.

Active
Other names
PHGTX Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT NIZNIK (CEO)
(786) 709-5442
Entity
Organization

Contact information

Practice address
211 E 7TH ST STE 620, AUSTIN, TX 78701-3218
(855) 459-9958
(305) 930-7435
Mailing address
1515 NW 167TH ST STE 391, MIAMI GARDENS, FL 33169-5100
(855) 459-9958
(305) 930-7435

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
03/23/2018
Last updated
03/23/2018
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