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NPI Code Detail

MEDICARE: HEALTHY MINDS PSYCHIATRY, PLLC

MEDICARE: HEALTHY MINDS PSYCHIATRY, 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
1103T00000XPsychologistP9496TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11437394293OTHERTXNPI
21609325521OTHERTXORGANIZATION NPI

General Provider Information

NPI Number : 1609325521
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY MINDS PSYCHIATRY, PLLC
Provider Business Mailing Address
First Line : 2000 DAIRY ASHFORD
Second Line : STE 340
City : HOUSTON
State : TX
Zip : 77077
Country : US
Telephone Number : 713-396-0106
Fax Number : 832-318-6278
Provider Business Practice Location Address
First Line : 2000 S DAIRY ASHFORD RD
Second Line : STE 340
City : HOUSTON
State : TX
Zip : 77077-5700
Country : US
Telephone Number : 713-396-0106
Fax Number : 832-318-6278
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. FRIEDA ABOUL-FOTOUH
Credential : MD
Telephone Number : 713-396-0106
Provider Enumeration Date : 10/04/2016
Last Update Date : 12/27/2016

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Directions to “HEALTHY MINDS PSYCHIATRY, PLLC ” Practice Location

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