MEDICARE: COPPERFIELD PSYCHIATRY, 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
1	2084P0800X	Psychiatry Physician	G8183	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1801899455	OTHER	TX	INDIVIDUAL NPI
2	F0118096	OTHER	TX	DPS

General Provider Information

NPI Number	:	1396012662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPPERFIELD PSYCHIATRY, PLLC

Provider Business Mailing Address
First Line	:	7825 HIGHWAY 6 N
Second Line	:	SUITE 101
City	:	HOUSTON
State	:	TX
Zip	:	77095-1700
Country	:	US
Telephone Number	:	281-500-6970
Fax Number	:	281-500-6972

Provider Business Practice Location Address
First Line	:	7825 HIGHWAY 6 N
Second Line	:	SUITE 101
City	:	HOUSTON
State	:	TX
Zip	:	77095-1700
Country	:	US
Telephone Number	:	281-500-6970
Fax Number	:	281-500-6972

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL TAMER HOMSY
Credential	:	MD
Telephone Number	:	281-500-6970

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	03/07/2023

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