Provider Demographics
NPI:1093846552
Name:TOXICOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:TOXICOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:G
Authorized Official - Last Name:COMSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-541-3218
Mailing Address - Street 1:6910 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3509
Mailing Address - Country:US
Mailing Address - Phone:713-271-0067
Mailing Address - Fax:713-271-6508
Practice Address - Street 1:6910 BELLAIRE BLVD
Practice Address - Street 2:SUITE 13
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3509
Practice Address - Country:US
Practice Address - Phone:713-271-0067
Practice Address - Fax:713-271-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSNP0410122261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone