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NPI Code Detail

MEDICARE: WESTSIDE BEHAVIORAL HEALTH LLC

MEDICARE: WESTSIDE BEHAVIORAL HEALTH 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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1811777931
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTSIDE BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 713-588-4395
Fax Number : 713-588-4509
Provider Business Practice Location Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 713-588-4395
Fax Number : 713-588-4509
Authorized Official
Title or Position : MANANGER
Name : UZMA SHAHID
Credential :
Telephone Number : 713-588-4395
Provider Enumeration Date : 10/05/2023
Last Update Date : 10/05/2023

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Directions to “WESTSIDE BEHAVIORAL HEALTH LLC ” Practice Location

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