Provider Demographics
NPI:1154853992
Name:FARINO PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:FARINO PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JETHER
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:FARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-550-3380
Mailing Address - Street 1:516 NOLAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2250
Mailing Address - Country:US
Mailing Address - Phone:512-550-3380
Mailing Address - Fax:
Practice Address - Street 1:8800 VILLAGE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5412
Practice Address - Country:US
Practice Address - Phone:210-202-0100
Practice Address - Fax:210-579-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1749261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health