Provider Demographics
NPI:1114390986
Name:KATY BEHAVIOR HEALTH PLLC
Entity Type:Organization
Organization Name:KATY BEHAVIOR HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MEMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-888-3266
Mailing Address - Street 1:2715 RIVER BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1521
Mailing Address - Country:US
Mailing Address - Phone:484-888-3266
Mailing Address - Fax:
Practice Address - Street 1:6902 S PEEK RD
Practice Address - Street 2:WEST PARK SPRING HOSPITAL
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1741
Practice Address - Country:US
Practice Address - Phone:484-888-3266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7671283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital