Provider Demographics
NPI:1629093117
Name:ADAPT OF TEXAS, INC.
Entity Type:Organization
Organization Name:ADAPT OF TEXAS, INC.
Other - Org Name:ADAPT INSTITUTE OF TEXAS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-315-0488
Mailing Address - Street 1:323 CONSORT DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4439
Mailing Address - Country:US
Mailing Address - Phone:877-315-0488
Mailing Address - Fax:972-554-7102
Practice Address - Street 1:2600 N. STEMMONS FREEWAY
Practice Address - Street 2:SUITE 151
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2111
Practice Address - Country:US
Practice Address - Phone:888-905-0595
Practice Address - Fax:214-905-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083397201Medicaid
TX126218OtherNORTHSTAR PROVIDER
TX00K03VMedicare ID - Type Unspecified
TX126218OtherNORTHSTAR PROVIDER