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NPI Code Detail

MEDICARE: RELIANT PARK PSYCHIATRY

MEDICARE: RELIANT PARK PSYCHIATRY
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
1103TP0016XPrescribing (Medical) PsychologistN8002TX

General Provider Information

NPI Number : 1184037525
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIANT PARK PSYCHIATRY
Provider Business Mailing Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-795-8874
Fax Number : 713-795-5529
Provider Business Practice Location Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-795-8874
Fax Number : 713-795-5529
Authorized Official
Title or Position : M.D
Name : IZZELDEEN BABIKER ELHAGE
Credential : M.D
Telephone Number : 267-307-7251
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/04/2014

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Directions to “RELIANT PARK PSYCHIATRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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