Provider Demographics
NPI:1083910764
Name:WHARTON PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:WHARTON PSYCHIATRIC ASSOCIATES
Other - Org Name:MATTHEW BRAMS MD ALICE MAO MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-864-6694
Mailing Address - Street 1:246 W MILAM ST
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-4916
Mailing Address - Country:US
Mailing Address - Phone:979-532-8485
Mailing Address - Fax:
Practice Address - Street 1:246 W MILAM ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-4916
Practice Address - Country:US
Practice Address - Phone:979-532-8485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty