MEDICARE: GRAND OAKS PSYCHIATRY, P.L.L.C.

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1407746258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND OAKS PSYCHIATRY, P.L.L.C.

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 21190
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	832-301-9776
Fax Number	:

Provider Business Practice Location Address
First Line	:	3114 W BENDERS LANDING BLVD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1888
Country	:	US
Telephone Number	:	832-610-5057
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST/MANAGING MEMBER
Name	:	DR. TARA HENSCHEL
Credential	:	MD
Telephone Number	:	832-301-9776

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	01/30/2026

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