Tx Otp, LLC
NPI 1205582822 · Methadone Clinic · Grand Prairie, TX
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tx Otp, LLC is a Methadone Clinic organization in Grand Prairie, TX (NPI 1205582822).
Provider details
- NPI number
- 1205582822
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Guerrero, Executive Director(505) 730-6266
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mat Texas
- Doing business as
- Mat Texas
Additional practice locations (1)
- 2025 Fort Worth Hwy Ste 100Weatherford, TX 76086-4777Phone: (817) 609-4750
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Tx Otp, LLC's NPI number?
- Tx Otp, LLC's National Provider Identifier (NPI) is 1205582822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tx Otp, LLC?
- Tx Otp, LLC is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Tx Otp, LLC located?
- Tx Otp, LLC's practice location on file with NPPES is 2100 N Hwy 360 Ste 1904, Grand Prairie, TX 75050-1040.
- What is Tx Otp, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tx Otp, LLC is (469) 460-7090.
- Does Tx Otp, LLC accept Medicare?
- Tx Otp, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tx Otp, LLC?
- The authorized official listed on Tx Otp, LLC's NPPES record is Jacob Guerrero, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tx Otp, LLC's NPI active?
- Yes — Tx Otp, LLC's NPI (1205582822) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.