Provider Demographics
NPI:1396012662
Name:COPPERFIELD PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:COPPERFIELD PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:TAMER
Authorized Official - Last Name:HOMSY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-500-6970
Mailing Address - Street 1:7825 HIGHWAY 6 N
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1700
Mailing Address - Country:US
Mailing Address - Phone:281-500-6970
Mailing Address - Fax:281-500-6972
Practice Address - Street 1:7825 HIGHWAY 6 N
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1700
Practice Address - Country:US
Practice Address - Phone:281-500-6970
Practice Address - Fax:281-500-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG81832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1801899455OtherINDIVIDUAL NPI
TXF0118096OtherDPS
TXF0118096OtherDPS
TX00L02QMedicare PIN