MEDICARE: EUNOIA PSYCHIATRY ASSOCIATES,PA

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	:	1972378552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUNOIA PSYCHIATRY ASSOCIATES,PA

Provider Business Mailing Address
First Line	:	8528 DAVIS BLVD # 134-104
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 N CARROLL AVE STE 140
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-6454
Country	:	US
Telephone Number	:	817-702-3100
Fax Number	:

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	RAMYA SEENI
Credential	:	MD
Telephone Number	:	318-455-9496

Provider Enumeration Date	:	11/23/2023
Last Update Date	:	11/23/2023

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