| Adult Psychiatric Clinic | |
|
109 Marshall St League City TX 77573-2224 | |
| (281) 557-1414 | |
| (281) 557-4242 |
| Full Name | Adult Psychiatric Clinic |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 109 Marshall St, League City, Texas |
| Authorized Official Name and Position | Houshmand John Tirandaz (OWNER) |
| Authorized Official Contact | 2815571414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Psychiatric Clinic 109 Marshall St League City TX 77573-2224 Ph: (281) 557-1414 | Adult Psychiatric Clinic 109 Marshall St League City TX 77573-2224 Ph: (281) 557-1414 |
| NPI Number | 1750520748 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750520748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | G8762 (Texas) | Primary |
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