| Organization Name: | JANE D. TODD, M.D. |
| NPI Number: | 1316133150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE D TODD (MEDICAL DIRECTOR) |
| Mailing Address: | 1110 Tenaha St Suite 5 Center |
| State: | TX US |
| Postal Code: | 759353036 |
| Phone Number: | 9365986608 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2007 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 08/06/2008 |
| NPI Reactivation Date: | 11/02/2010 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Methadone Clinic |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |