Healthcare Provider Details

I. General information

NPI: 1184276909
Provider Name (Legal Business Name): NUME TMS TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 NORFOLK ST STE 740
HOUSTON TX
77098-4062
US

IV. Provider business mailing address

2375 S COBALT POINT WAY STE 102
MERIDIAN ID
83642-8029
US

V. Phone/Fax

Practice location:
  • Phone: 855-423-1746
  • Fax: 208-954-5595
Mailing address:
  • Phone: 208-954-5591
  • Fax: 208-954-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HELENA PATERSON
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 208-954-5591