Provider Demographics
NPI:1740788686
Name:DISCOVERY 180 INTEGRATIVE SOLUTIONS
Entity Type:Organization
Organization Name:DISCOVERY 180 INTEGRATIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:HOBART
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:505-321-9829
Mailing Address - Street 1:8668 JOHN HICKMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8131
Mailing Address - Country:US
Mailing Address - Phone:214-295-6131
Mailing Address - Fax:214-256-3626
Practice Address - Street 1:8668 JOHN HICKMAN PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8131
Practice Address - Country:US
Practice Address - Phone:214-295-6131
Practice Address - Fax:214-256-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9162276400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit