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
1	103K00000X	Behavior Analyst
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	104100000X	Social Worker
4	101YP2500X	Professional Counselor
5	1041C0700X	Clinical Social Worker
6	106H00000X	Marriage & Family Therapist
7	101Y00000X	Counselor
8	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407719677
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	:	832-241-2902

Provider Business Practice Location Address
First Line	:	4700 N HABANA AVE STE 601
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7121
Country	:	US
Telephone Number	:	832-869-4818
Fax Number	:	832-241-2902

Authorized Official
Title or Position	:	OWNER
Name	:	FAISAL TAI
Credential	:
Telephone Number	:	832-869-4818

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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