Provider Demographics
NPI:1427054014
Name:AIDS FOR RECOVERY INC.
Entity type:Organization
Organization Name:AIDS FOR RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-328-0677
Mailing Address - Street 1:1311 MARKETPLACE DR
Mailing Address - Street 2:SUITE # 160
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041
Mailing Address - Country:US
Mailing Address - Phone:214-328-0677
Mailing Address - Fax:214-328-6503
Practice Address - Street 1:1311 MARKETPLACE DR
Practice Address - Street 2:SUITE # 160
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041
Practice Address - Country:US
Practice Address - Phone:214-328-0677
Practice Address - Fax:214-328-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091340201Medicaid
TX091340201Medicaid
TX0307810001Medicare NSC