| Summit Psychiatric Associates, Pllc | |
|
2696 W Walnut St Garland TX 75042-6441 | |
| (469) 573-1890 | |
| Not Available |
| Full Name | Summit Psychiatric Associates, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2696 W Walnut St, Garland, Texas |
| Authorized Official Name and Position | Shahid Hussain Hussain (MANAGER) |
| Authorized Official Contact | 4695731890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Psychiatric Associates, Pllc Po Box 451178 Garland TX 75045-1178 Ph: (469) 573-1890 | Summit Psychiatric Associates, Pllc 2696 W Walnut St Garland TX 75042-6441 Ph: (469) 573-1890 |
| NPI Number | 1063954766 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 12/06/2016 |
| Medicare PECOS PAC ID | 7618258666 |
|---|---|
| Medicare Enrollment ID | O20170105000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063954766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | Q7562 (Texas) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | Q7562 (Texas) | Secondary |
| Provider Name | Shahid Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457614505 PECOS PAC ID: 1951696053 Enrollment ID: I20170105000697 |
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