Provider Demographics
NPI:1497906762
Name:COPPELL PSYCHIATRIC CARE INC.
Entity Type:Organization
Organization Name:COPPELL PSYCHIATRIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SATYAJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SATPATHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-393-5559
Mailing Address - Street 1:848 S DENTON TAP RD
Mailing Address - Street 2:#110
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4556
Mailing Address - Country:US
Mailing Address - Phone:972-393-5559
Mailing Address - Fax:972-393-5479
Practice Address - Street 1:848 S DENTON TAP RD
Practice Address - Street 2:#110
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4556
Practice Address - Country:US
Practice Address - Phone:972-393-5559
Practice Address - Fax:972-393-5479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL 89412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L3897Medicare PIN