Bay Area Psychiatry Services Pc | |
6000 S Staples St Ste 406 Corpus Christi TX 78413-2952 | |
(361) 444-5255 | |
Not Available |
Full Name | Bay Area Psychiatry Services Pc |
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Speciality | Psychiatry & Neurology |
Location | 6000 S Staples St Ste 406, Corpus Christi, Texas |
Authorized Official Name and Position | Manjunath Balaram (PRESIDENT) |
Authorized Official Contact | 6052143737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bay Area Psychiatry Services Pc Po Box 6806 Corpus Christi TX 78466-6806 Ph: () - | Bay Area Psychiatry Services Pc 6000 S Staples St Ste 406 Corpus Christi TX 78413-2952 Ph: (361) 444-5255 |
NPI Number | 1235898701 |
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Provider Enumeration Date | 12/13/2021 |
Last Update Date | 05/09/2024 |
Certification Date | 07/23/2022 |
Medicare PECOS PAC ID | 2860885282 |
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Medicare Enrollment ID | O20220208001267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235898701 | NPI | - | NPPES |
R3026 | Other | TX | TEXAS MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Manjunath Balaram |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790042836 PECOS PAC ID: 1254560428 Enrollment ID: I20180126000669 |
Provider Name | Angela Marie Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487301826 PECOS PAC ID: 3577950153 Enrollment ID: I20220428002757 |
Provider Name | Ambar Lizzette Bratcher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437841327 PECOS PAC ID: 2769840826 Enrollment ID: I20230621003057 |
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