| NPI | 1841501293 |
|---|---|
| Doing Business As | TEXAS CLINIC FULTON |
| Entity Type | Organization |
| Authorized Contact | FARRUKH SHAMSI President/Program Sponsor 713-694-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 0000046) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-04-29 |