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NPI Code Detail

MEDICARE: INSIGHT BEHAVIORAL HEALTH PLLC

MEDICARE: INSIGHT BEHAVIORAL HEALTH 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
12084P0800XPsychiatry 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 : 1922592336
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT BEHAVIORAL HEALTH PLLC
Provider Business Mailing Address
First Line : PO BOX 5017
Second Line :
City : TEXARKANA
State : TX
Zip : 75505-5017
Country : US
Telephone Number : 430-200-2793
Fax Number : 903-231-0142
Provider Business Practice Location Address
First Line : 5501 MEDICAL PARKWAY DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-4624
Country : US
Telephone Number : 430-200-2793
Fax Number : 903-231-0142
Authorized Official
Title or Position : OWNER
Name : RAMNEESH BAWEJA
Credential : MD
Telephone Number : 430-200-2793
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/20/2024

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