Provider Demographics
NPI:1184673329
Name:ASSOCIATES IN PSYCHIATRY & COUNSELING, P.A.
Entity Type:Organization
Organization Name:ASSOCIATES IN PSYCHIATRY & COUNSELING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SURENDRA
Authorized Official - Middle Name:NATH
Authorized Official - Last Name:GERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-385-5722
Mailing Address - Street 1:PO BOX 202209
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-8209
Mailing Address - Country:US
Mailing Address - Phone:817-385-5722
Mailing Address - Fax:817-385-5723
Practice Address - Street 1:2304 COPPER RIDGE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2725
Practice Address - Country:US
Practice Address - Phone:817-385-5722
Practice Address - Fax:817-385-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF84892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J73XMedicare ID - Type Unspecified