Healthcare Provider Details
I. General information
NPI: 1437723491
Provider Name (Legal Business Name): SOUTHWEST NEUROPSYCHIATRY ASSOCIATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2021
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1106 CLAYTON LN STE 240W
AUSTIN TX
78723-2478
US
IV. Provider business mailing address
1106 CLAYTON LN STE 240W
AUSTIN TX
78723-2478
US
V. Phone/Fax
- Phone: 737-471-5402
- Fax: 512-727-6761
- Phone: 737-471-5402
- Fax: 512-727-6761
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAMON
ARAGON
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 915-777-8428