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General NPI Number Information
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NPI Number | 1972463560
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Entity Type | Organization
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Legal Business Name | PSYCH MD MEDICAL GROUP, PLLC
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Dates
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Enumeration Date | 11/15/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 709 REINICKE ST
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City | HOUSTON
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State | TX
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Zip | 77007-5162
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Country | US
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Telephone | 718-414-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 MEMORIAL DR STE F
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City | HOUSTON
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State | TX
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Zip | 77007-8023
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Country | US
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Telephone | 718-414-4772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAHMOUD YAZIED DWEIK
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Credential | MD
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Telephone | 469-364-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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