Healthcare Provider Details

I. General information

NPI: 1194598656
Provider Name (Legal Business Name): ROLLYCOLL PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 GABLER DR
VENUS TX
76084-3679
US

IV. Provider business mailing address

2602 GABLER DR
VENUS TX
76084-3679
US

V. Phone/Fax

Practice location:
  • Phone: 214-773-2832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROLAND TANYI
Title or Position: OWNER
Credential:
Phone: 214-773-2832