Healthcare Provider Details

I. General information

NPI: 1265628663
Provider Name (Legal Business Name): NORTH TEXAS PSYCHIATRIC ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 09/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 W UNIVERSITY DR
DENTON TX
76201-0644
US

IV. Provider business mailing address

3413 RAMBLING WAY
PLANO TX
75093-7601
US

V. Phone/Fax

Practice location:
  • Phone: 940-320-8118
  • Fax: 940-320-4899
Mailing address:
  • Phone: 972-741-6530
  • Fax: 972-473-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberM7114
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberM7114
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberM7114
License Number StateTX

VIII. Authorized Official

Name: DR. HUMERA ARIF CHOWDHARY
Title or Position: PRESIDENT
Credential:
Phone: 972-741-6530