Provider Demographics
NPI:1093890915
Name:RED OAK PSYCHIATRY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:RED OAK PSYCHIATRY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-893-4111
Mailing Address - Street 1:17115 RED OAK DR
Mailing Address - Street 2:STE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2607
Mailing Address - Country:US
Mailing Address - Phone:281-893-4111
Mailing Address - Fax:281-893-8082
Practice Address - Street 1:17115 RED OAK DR
Practice Address - Street 2:STE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2607
Practice Address - Country:US
Practice Address - Phone:281-893-4111
Practice Address - Fax:281-893-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCN6116OtherRAILROAD MEDICARE
TX094024901Medicaid
TXCN6116OtherRAILROAD MEDICARE