Basic Information
| Provider Information | |||||||||
| NPI: | 1245965722 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TEXAS PAIN PSYCHIATRY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5520 LBJ FWY STE 200 | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752406381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726365727 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3013 RIDGE RD | ||||||||
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| City: | ROCKWALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750325806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4696947004 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2022 | ||||||||
| LastUpdateDate: | 07/19/2022 | ||||||||
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| AuthorizedOfficialLastName: | RASHEED | ||||||||
| AuthorizedOfficialFirstName: | HAROON | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 4696947004 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 07/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.