Provider Demographics
NPI:1477317949
Name:INTEGRATED PSYCHIATRY SERVICES PLLC
Entity Type:Organization
Organization Name:INTEGRATED PSYCHIATRY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIRUWORK
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRUY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:469-638-6650
Mailing Address - Street 1:539 W COMMERCE ST # 6860
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-1953
Mailing Address - Country:US
Mailing Address - Phone:469-638-6650
Mailing Address - Fax:469-653-0600
Practice Address - Street 1:9304 FOREST LN STE 112
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6243
Practice Address - Country:US
Practice Address - Phone:469-638-6650
Practice Address - Fax:469-653-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty