NPI age
9 years
Enumerated 2016-07-11
● Active Type 2 · Organization
Subpart
Medmark Treatment Centers Of Texas, Inc.
Medmark Treatment Centers Of Texas, Inc. is 1 of 345 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jarvie
Vp, Treasurer
Last NPPES update
2024-07-29
Source: monthly bulk 2026-05
How this organization compares
Across 345 active clinic/center providers in Texas.
NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 50% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-07Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1110 Tenaha St
Center, TX 759353036
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 750576425
Authorized official
Bruce Jarvie
Vp, Treasurer
📞 2143793300
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Danna Bailey-Watts, LCDC Counselor NPI 1407432115
- Kendall Douglass Case Management NPI 1003775032
- Marcus Hafford Case Management NPI 1033077789
- Aretha Hall Case Management NPI 1053958389
- Latrise Hewitt, LVN Licensed Vocational Nurse NPI 1245623982
- Deborah Hudgens Counselor NPI 1427441195
- Cathey Monk, LVN Licensed Vocational Nurse NPI 1285069765
- Pamela Suell, LVN Licensed Vocational Nurse NPI 1780018440
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 100004 | OPIOID TREATMENT PROGRAM LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MedMark Treatment Centers Center
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of Medmark Treatment Centers Of Texas, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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