Provider Demographics
NPI:1467667808
Name:GREATER HOUSTON PSYCHIATRIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:GREATER HOUSTON PSYCHIATRIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:BLACKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-208-0990
Mailing Address - Street 1:4888 LOOP CENTRAL DR
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2226
Mailing Address - Country:US
Mailing Address - Phone:713-346-1555
Mailing Address - Fax:713-346-1579
Practice Address - Street 1:4888 LOOP CENTRAL DR
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2226
Practice Address - Country:US
Practice Address - Phone:713-346-1555
Practice Address - Fax:713-346-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)