Organization
VCPHCS VII, LLC
Active
Parent organization
MEDMARK TREATMENT CENTERS OF TEXAS, INC
Other names
Medmark Treatment Centers San Antonio Quincy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDMARK TREATMENT CENTERS OF TEXAS, INC
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
5121 CRESTWAY RD STE 201, WINDCREST, TX 78239-1975
(210) 299-1614
(214) 365-6150
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 850-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
1000043
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000043
NTP LICENSE
TX
Enumeration date
06/17/2008
Last updated
07/29/2024
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