Provider Demographics
NPI:1477857720
Name:MATTHEW BRAMS, MD ALICE MAO, MD
Entity Type:Organization
Organization Name:MATTHEW BRAMS, MD ALICE MAO, MD
Other - Org Name:MEMORIAL PARK PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-864-6694
Mailing Address - Street 1:550 WESTCOTT ST
Mailing Address - Street 2:STE. 520
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-9015
Mailing Address - Country:US
Mailing Address - Phone:713-864-6694
Mailing Address - Fax:713-864-6698
Practice Address - Street 1:550 WESTCOTT ST
Practice Address - Street 2:STE. 520
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-9015
Practice Address - Country:US
Practice Address - Phone:713-864-6694
Practice Address - Fax:713-864-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH41832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty