| Tri City Psychiatric Services, P.a. | |
|
3600 S Cooper St #100 Arlington TX 76015-3405 | |
| (817) 200-6680 | |
| Not Available |
| Full Name | Tri City Psychiatric Services, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3600 S Cooper St, Arlington, Texas |
| Authorized Official Name and Position | Wasiq Ali Zaidi (PRESIDENT) |
| Authorized Official Contact | 4054737661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri City Psychiatric Services, P.a. Po Box 541177 Grand Prairie TX 75054-1177 Ph: (817) 200-6680 | Tri City Psychiatric Services, P.a. 3600 S Cooper St #100 Arlington TX 76015-3405 Ph: (817) 200-6680 |
| NPI Number | 1770764466 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 07/02/2009 |
| Medicare PECOS PAC ID | 6709950314 |
|---|---|
| Medicare Enrollment ID | O20080730000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770764466 | NPI | - | NPPES |
| DO4480 | Other | TX | MEDICARE RAILROAD |
| 0070QU | Other | TX | BCBS |
| Provider Name | Wasiq A Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710920715 PECOS PAC ID: 9133132103 Enrollment ID: I20080801000353 |
| Provider Name | Uzma Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020096 PECOS PAC ID: 8022018662 Enrollment ID: I20090313000352 |
| Provider Name | Naiga Dohnji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912337205 PECOS PAC ID: 8123256518 Enrollment ID: I20140109001667 |
| Provider Name | Jennifer A Urune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073906038 PECOS PAC ID: 2769701762 Enrollment ID: I20150424000391 |
| Provider Name | Modupe M Okonofua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215325535 PECOS PAC ID: 2466764758 Enrollment ID: I20150629002421 |
| Provider Name | Olayemi O Ononogbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003243379 PECOS PAC ID: 8426335316 Enrollment ID: I20170502001168 |
| Provider Name | Sylvia A Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802952 PECOS PAC ID: 4082010012 Enrollment ID: I20210831000864 |
| Provider Name | Dorine O Owalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780277269 PECOS PAC ID: 9537547187 Enrollment ID: I20220609002399 |
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