| Gallus Detox Dallas Llc | |
|
26791 Us Highway 380 E Aubrey TX 76227-7654 | |
| (281) 277-0911 | |
| Not Available |
| Full Name | Gallus Detox Dallas Llc |
|---|---|
| Speciality | Emergency Medicine - Medical Toxicology |
| Location | 26791 Us Highway 380 E, Aubrey, Texas |
| Authorized Official Name and Position | Patrick John Gallus (PRESIDENT) |
| Authorized Official Contact | 9282272300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallus Detox Dallas Llc 134 S Granite St Prescott AZ 86303-4710 Ph: (928) 227-2300 | Gallus Detox Dallas Llc 26791 Us Highway 380 E Aubrey TX 76227-7654 Ph: (281) 277-0911 |
| NPI Number | 1659616647 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659616647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207PT0002X | Emergency Medicine - Medical Toxicology | (* (Not Available)) | Primary |
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