Dfw Drug Rehab, LLC
Clinic/Center, Adult Mental Health in San Antonio, TX. Organization (NPI-2).
NPI number1497611149
StatusActive
Last updated in NPPESDec 26, 2025
Details
- NPI
- 1497611149
- Entity type
- Organization (NPI-2)
- Legal business name
- Dfw Drug Rehab, LLC
- Organization subpart
- No
- Enumeration date
- Dec 26, 2025
- Certification date
- Dec 25, 2025
- Last updated
- Dec 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
11318 Sir Winston StBldg C
San Antonio, TX 78216
Phone 469-871-2202
Mailing address
11318 Sir Winston StBldg C
San Antonio, TX 78216
Authorized official
Stephane Marion
Coo
9563715055
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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