Provider Demographics
NPI:1609467471
Name:TEXAS NEUROPSYCHIATRY MD PA
Entity Type:Organization
Organization Name:TEXAS NEUROPSYCHIATRY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:956-357-0441
Mailing Address - Street 1:1709 S 77 SUNSHINESTRIP UNIT B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8121
Mailing Address - Country:US
Mailing Address - Phone:956-230-2002
Mailing Address - Fax:956-622-5017
Practice Address - Street 1:1709 S 77 SUNSHINESTRIP UNIT B1
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8121
Practice Address - Country:US
Practice Address - Phone:956-564-9510
Practice Address - Fax:956-435-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty