Provider Demographics
NPI:1407611346
Name:PRESENT TELEPSYCHIATRY
Entity Type:Organization
Organization Name:PRESENT TELEPSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CEO/NP
Authorized Official - Prefix:
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-552-1578
Mailing Address - Street 1:4615 FALLING SUN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1035
Mailing Address - Country:US
Mailing Address - Phone:832-259-3301
Mailing Address - Fax:
Practice Address - Street 1:1415 NORTH LOOP W STE 300-14
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1664
Practice Address - Country:US
Practice Address - Phone:832-552-1578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty