An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
TX license #1000027taxonomy 261QM2800X
Identifiers
Type
Value
Notes
01 (TX)
1000027
LICENSE
05 (TX)
285947202
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
MedMark Treatment Centers Fort Worth
Type code 3recorded 2023-02-21
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
Plus 1 secondary practice location.
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