| Denton Psychiatric Associates, Lp | |
|
1505 Reata Dr Carrollton TX 75010-1153 | |
| (972) 855-8860 | |
| (682) 200-2850 |
| Full Name | Denton Psychiatric Associates, Lp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 Reata Dr, Carrollton, Texas |
| Authorized Official Name and Position | Mansoor M Mian (DIRECTOR/MANAGER) |
| Authorized Official Contact | 9723757821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denton Psychiatric Associates, Lp 1505 Reata Dr Carrollton TX 75010-1153 Ph: (972) 855-8860 | Denton Psychiatric Associates, Lp 1505 Reata Dr Carrollton TX 75010-1153 Ph: (972) 855-8860 |
| NPI Number | 1932383338 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 01/31/2017 |
| Medicare PECOS PAC ID | 6103998430 |
|---|---|
| Medicare Enrollment ID | O20080702000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932383338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L8133 (Texas) | Primary |
| Provider Name | Mayanaz Syeda Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649338625 PECOS PAC ID: 5294715892 Enrollment ID: I20040723000547 |
| Provider Name | Mansoor M Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417900895 PECOS PAC ID: 1850363417 Enrollment ID: I20040812000877 |
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