=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659180271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SATURN BEHAVIORAL HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 01/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 709 N EMILE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77020-7124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-409-3579
-----------------------------------------------------
Fax | 402-702-1229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 709 N EMILE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77020-7124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-409-3579
-----------------------------------------------------
Fax | 402-702-1229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANURON MANDAL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 281-409-3579
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------