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NPI Code Detail

MEDICARE: KATY BEHAVIOR HEALTH PLLC

MEDICARE: KATY BEHAVIOR HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric HospitalP7671TX

General Provider Information

NPI Number : 1114390986
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATY BEHAVIOR HEALTH PLLC
Provider Business Mailing Address
First Line : 2715 RIVER BIRCH DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1521
Country : US
Telephone Number : 484-888-3266
Fax Number :
Provider Business Practice Location Address
First Line : 6902 S PEEK RD
Second Line : WEST PARK SPRING HOSPITAL
City : RICHMOND
State : TX
Zip : 77407-1741
Country : US
Telephone Number : 484-888-3266
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. NAIM MEMON
Credential : M.D.
Telephone Number : 484-888-3266
Provider Enumeration Date : 11/03/2015
Last Update Date : 11/05/2015

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Directions to “KATY BEHAVIOR HEALTH PLLC ” Practice Location

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