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NPI Code Detail

MEDICARE: MIND CARE PSYCHIATRY CONSULTANTS, PA

MEDICARE: MIND CARE PSYCHIATRY CONSULTANTS, PA
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
12084P0804XChild & Adolescent Psychiatry PhysicianR8330TX
22084P0800XPsychiatry PhysicianR8330TX

General Provider Information

NPI Number : 1306326210
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIND CARE PSYCHIATRY CONSULTANTS, PA
Provider Business Mailing Address
First Line : 4849 N MESA ST STE 201
Second Line :
City : EL PASO
State : TX
Zip : 79912-5919
Country : US
Telephone Number : 915-351-6600
Fax Number : 915-351-6601
Provider Business Practice Location Address
First Line : 1900 DENVER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-3008
Country : US
Telephone Number : 915-544-4000
Fax Number : 915-544-8750
Authorized Official
Title or Position : PRESIDENT
Name : GOSHAWN CHAWLA
Credential : MD
Telephone Number : 773-983-7127
Provider Enumeration Date : 08/20/2018
Last Update Date : 04/07/2026

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Directions to “MIND CARE PSYCHIATRY CONSULTANTS, PA ” Practice Location

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