Provider Demographics
NPI:1346509320
Name:ADD/ADHD DIAGNOSTIC AND TREATMENT CENTER, PA
Entity Type:Organization
Organization Name:ADD/ADHD DIAGNOSTIC AND TREATMENT CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-202-6368
Mailing Address - Street 1:PO BOX 261283
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1283
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1524 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE # A-1
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6406
Practice Address - Country:US
Practice Address - Phone:972-943-0410
Practice Address - Fax:972-212-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4349207Q00000X
TXN1045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty