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General NPI Number Information
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NPI Number | 1366364713
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Entity Type | Organization
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Legal Business Name | SULTAN MIND PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 6923 HAZELNUT LANE
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City | BAYTOWN
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State | TX
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Zip | 77521
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Country | US
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Telephone | 832-925-3176
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Fax | 832-281-7854
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Provider Business Mailing Address
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Address Line | 11200 BROADWAY ST STE 2743
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City | PEARLAND
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State | TX
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Zip | 77584-9787
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Country | US
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Telephone | 832-925-3176
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Fax | 832-281-7854
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LATONYA PARKER
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Credential | APRN, PMHNP-BC
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Telephone | 832-925-3176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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