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NPI Code Detail

MEDICARE: AMAZING MINDS PLLC

MEDICARE: AMAZING MINDS 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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1528918950
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAZING MINDS PLLC
Provider Business Mailing Address
First Line : 2002 ACADEMY LN
Second Line : STE 230-A, OFFICE10
City : FARMERS BRANCH
State : TX
Zip : 75234-9234
Country : US
Telephone Number : 786-930-4111
Fax Number : 786-930-4110
Provider Business Practice Location Address
First Line : 2002 ACADEMY LN
Second Line : STE 230-A OFC 10
City : FARMERS BRANCH
State : TX
Zip : 75234-9234
Country : US
Telephone Number : 786-930-4111
Fax Number : 786-930-4110
Authorized Official
Title or Position : OWNER
Name : KHAJA NAJIBUDDIN CHISTY
Credential : MD
Telephone Number : 786-930-4111
Provider Enumeration Date : 02/03/2026
Last Update Date : 03/16/2026

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