| Sp Psychiatric Consulting Pllc | |
|
4888 Loop Central Dr Suite 510 Houston TX 77081-2227 | |
| (713) 346-1551 | |
| (713) 346-1557 |
| Full Name | Sp Psychiatric Consulting Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4888 Loop Central Dr, Houston, Texas |
| Authorized Official Name and Position | Stacey Raab Pisklak (MANAGING MEMBER) |
| Authorized Official Contact | 8326549725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp Psychiatric Consulting Pllc 4888 Loop Central Dr Suite 510 Houston TX 77081-2227 Ph: (713) 346-1551 | Sp Psychiatric Consulting Pllc 4888 Loop Central Dr Suite 510 Houston TX 77081-2227 Ph: (713) 346-1551 |
| NPI Number | 1235526195 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Medicare PECOS PAC ID | 4688983141 |
|---|---|
| Medicare Enrollment ID | O20151023000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235526195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N2247 (Texas) | Primary |
| Provider Name | Stacey Pisklak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518257385 PECOS PAC ID: 2860667482 Enrollment ID: I20111209000558 |
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