| Oakvine Recovery Center Llc | |
|
2631 Gattis School Rd Ste 455 Round Rock TX 78664-2969 | |
| (512) 368-2809 | |
| (512) 284-7304 |
| Full Name | Oakvine Recovery Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2631 Gattis School Rd Ste 455, Round Rock, Texas |
| Authorized Official Name and Position | Rhonda Genae Patrick (OWNER/CEO) |
| Authorized Official Contact | 5123682809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakvine Recovery Center Llc Po Box 6082 Round Rock TX 78683-6082 Ph: (512) 368-2809 | Oakvine Recovery Center Llc 2631 Gattis School Rd Ste 455 Round Rock TX 78664-2969 Ph: (512) 368-2809 |
| NPI Number | 1841866555 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Medicare PECOS PAC ID | 0244769149 |
|---|---|
| Medicare Enrollment ID | O20250122001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841866555 | NPI | - | NPPES |
| Provider Name | Rhonda Genae Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366718157 PECOS PAC ID: 1052740305 Enrollment ID: I20250205001301 |
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