MEDICARE: COGNITIVE PSYCHIATRY 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
1	2084P0804X	Child & Adolescent Psychiatry Physician

General Provider Information

NPI Number	:	1336693043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COGNITIVE PSYCHIATRY PA

Provider Business Mailing Address
First Line	:	1029 HIGHWAY 6 N
Second Line	:	STE 650-181
City	:	HOUSTON
State	:	TX
Zip	:	77079-1043
Country	:	US
Telephone Number	:	281-415-9706
Fax Number	:	281-429-3657

Provider Business Practice Location Address
First Line	:	1029 HIGHWAY 6 N
Second Line	:	STE 650-181
City	:	HOUSTON
State	:	TX
Zip	:	77079-1043
Country	:	US
Telephone Number	:	281-415-9706
Fax Number	:	281-429-3657

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SADAF JAVAID
Credential	:	MD
Telephone Number	:	281-415-9706

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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