MEDICARE: UNITED PSYCHIATRY INSTITUTE, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689913279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED PSYCHIATRY INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	9898 BISSONNET ST STE 362
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8025
Country	:	US
Telephone Number	:	713-429-5325
Fax Number	:	281-822-1556

Provider Business Practice Location Address
First Line	:	9898 BISSONNET ST STE 362
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8025
Country	:	US
Telephone Number	:	713-429-5325
Fax Number	:	281-822-1556

Authorized Official
Title or Position	:	CHILDPSYCHIATRIST, SLEEP SPECIALIST
Name	:	DR. SHAKEEL RAZA
Credential	:	MD
Telephone Number	:	713-429-5325

Provider Enumeration Date	:	02/03/2013
Last Update Date	:	05/07/2015

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