| Integrative Care Psychiatry | |
|
1508 Dessau Ridge Ln Ste 202 Austin TX 78754-2190 | |
| (405) 204-4903 | |
| Not Available |
| Full Name | Integrative Care Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1508 Dessau Ridge Ln Ste 202, Austin, Texas |
| Authorized Official Name and Position | Vinod N Alluri (PSYCHIATRIST) |
| Authorized Official Contact | 4052044903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Care Psychiatry 3002 Covington Pl Round Rock TX 78681-2287 Ph: (405) 204-4903 | Integrative Care Psychiatry 1508 Dessau Ridge Ln Ste 202 Austin TX 78754-2190 Ph: (405) 204-4903 |
| NPI Number | 1508615147 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 5991247371 |
|---|---|
| Medicare Enrollment ID | O20240613000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508615147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Vinod Alluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20190122001784 |
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