GLADYS LOWRY
NPI 1811242217
Clinic/Center - Methadone in Desoto, TX
- Organization
- Clinic/Center
- Methadone
About GLADYS LOWRY
This page provides the complete NPI Profile along with additional information for Gladys Lowry, a provider established in Desoto, Texas operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1811242217 assigned on July 2012. The practitioner's primary taxonomy code is 261QM2800X with license number 1000032 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Gladys Lowry. The authorized official of this NPI record is Mrs. Gladys Lowry (Sponsor)
- NPI
- 1811242217 Verify this NPI
- Provider Legal Name
- FRESH START COUNSELING AND TREATMENT CENTER
- Other Organization Name
- GLADYS LOWRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 215 EXECUTIVE WAY STE 140B DESOTO, TX 75115
- Location Phone
- (972) 298-1146
- Location Fax
- (972) 298-1170
- Mailing Address
- 215 EXECUTIVE WAY STE 140B DESOTO, TX 75115
- Mailing Phone
- (972) 298-1146
- Mailing Fax
- (972) 298-1170
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2012
- Last Update Date
- 07-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1000032
- License State
- TX
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811242217, enumerated as an "organization" on July 23, 2012.
The provider is located at 215 EXECUTIVE WAY STE 140B DESOTO, TX 75115 and the phone number is (972) 298-1146.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
