Healthcare Provider Details
I. General information
NPI: 1205634334
Provider Name (Legal Business Name): ELITE PSYCHIATRY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 BONAVENTURE WAY STE 128
SUGAR LAND TX
77479-8006
US
IV. Provider business mailing address
4327 WINDY OAKS DR
FULSHEAR TX
77441-2299
US
V. Phone/Fax
- Phone: 832-488-0512
- Fax:
- Phone:
- Fax:
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.
AMIR
KHAN
Title or Position: OWNER
Credential: MD
Phone: 832-488-0512