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NPI Code Detail

MEDICARE: PSYCHIATRY OF TEXAS PLLC

MEDICARE: PSYCHIATRY OF TEXAS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4103K00000XBehavior Analyst
5363A00000XPhysician Assistant
6103TC0700XClinical Psychologist
7101YM0800XMental Health Counselor
8363LP0808XPsychiatric/Mental Health Nurse Practitioner
92084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013476027
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHIATRY OF TEXAS PLLC
Provider Business Mailing Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number : 832-869-4853
Provider Business Practice Location Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number : 832-869-4853
Authorized Official
Title or Position : CEO
Name : FAISAL TAI
Credential :
Telephone Number : 832-506-7061
Provider Enumeration Date : 03/19/2019
Last Update Date : 06/08/2026

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HOUSTON, TX
77070-5934
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HOUSTON, TX
77070-5934
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1952410912 — THOMAS BURKE MITCHELL
Practice Location Address:
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HOUSTON, TX
77070-5934
Practice Phone: 832-869-4818
Practice Fax: 832-241-2902

Directions to “PSYCHIATRY OF TEXAS PLLC ” Practice Location

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