P Praxis·MD
● Active Type 2 · Organization

Shoreline, Inc.

Clinic/Center·Taft, TX· NPI 1962559252 · Enumerated 2007 · 19 years on NPI
Shoreline, Inc. is 1 of 345 clinic/center organizations in Texas.
NPI age
19 years
Enumerated 2007-01-05
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Ceo
Last NPPES update
2023-07-07
Source: monthly bulk 2026-05

How this organization compares

Across 345 active clinic/center providers in Texas.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 50% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1220 Gregory St.
Taft, TX 783903044
📞 3615283356fax 3615283249
Mailing address
1220 Gregory St
Taft, TX 783903044
📞 3615283356fax 3615283249

Authorized official

Mark Jackson
Ceo
📞 3615283356

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR0405X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    taxonomy 2084P0800X
  • Substance Abuse Rehabilitation Facility
    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. ...
    TX license #481A taxonomy 3245S0500X

Identifiers

TypeValueNotes
05 (TX) 065220801

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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