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301east Division St Greenville TX 75401-4101 | |
| (903) 453-3385 | |
| (903) 454-1149 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301east Division St, Greenville, Texas |
| Authorized Official Name and Position | Raza H Sayed (OWNER) |
| Authorized Official Contact | 9034533385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5435 N Garland Ave Ste 140 Mail Box 336 Garland TX 75040-2787 Ph: (903) 453-3385 | 301east Division St Greenville TX 75401-4101 Ph: (903) 453-3385 |
| NPI Number | 1972730166 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 09/04/2009 |
| Medicare PECOS PAC ID | 8123179066 |
|---|---|
| Medicare Enrollment ID | O20090706000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L5549 (Texas) | Primary |
| Provider Name | Raza H Sayed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861592966 PECOS PAC ID: 8123115375 Enrollment ID: I20071109000247 |
| Provider Name | Guillaume Urbain Nobosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407572209 PECOS PAC ID: 9931574159 Enrollment ID: I20230331000622 |
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