Provider Demographics
NPI:1225214836
Name:RAHN K BAILEY PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:RAHN K BAILEY PSYCHIATRIC ASSOCIATES
Other - Org Name:RAHN K. BAILEY, M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-554-7188
Mailing Address - Street 1:614 W MAIN ST
Mailing Address - Street 2:STE. D101
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3771
Mailing Address - Country:US
Mailing Address - Phone:713-554-7188
Mailing Address - Fax:281-577-1105
Practice Address - Street 1:614 W MAIN ST
Practice Address - Street 2:STE. D101
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3771
Practice Address - Country:US
Practice Address - Phone:713-554-7188
Practice Address - Fax:281-577-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH97682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0032DUOtherBLUE CROSS NUMBER