| Comprehensive Psychiatry, Pllc | |
|
13341 Us 290 Bldg 1-103 Austin TX 78737 | |
| (512) 829-4210 | |
| Not Available |
| Full Name | Comprehensive Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13341 Us 290, Austin, Texas |
| Authorized Official Name and Position | Keith S Garcia (MANAGER) |
| Authorized Official Contact | 5128294210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychiatry, Pllc Po Box 157 Driftwood TX 78619-0157 Ph: (512) 940-4875 | Comprehensive Psychiatry, Pllc 13341 Us 290 Bldg 1-103 Austin TX 78737 Ph: (512) 829-4210 |
| NPI Number | 1821538364 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 4880965979 |
|---|---|
| Medicare Enrollment ID | O20170808002823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821538364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N7696 (Texas) | Primary |
| Provider Name | Keith Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205854783 PECOS PAC ID: 5193717718 Enrollment ID: I20110317000938 |
| Provider Name | Eric Alan Feagins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891145132 PECOS PAC ID: 6103118419 Enrollment ID: I20171011002478 |
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