Provider Demographics
NPI:1710587076
Name:AGILE PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:AGILE PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:NAHAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-337-6684
Mailing Address - Street 1:3616 FAR WEST BLVD STE 117
Mailing Address - Street 2:BOX #303
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-337-6684
Mailing Address - Fax:216-208-1379
Practice Address - Street 1:2802 FLINTROCK TRCE STE 375
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-1743
Practice Address - Country:US
Practice Address - Phone:512-337-6684
Practice Address - Fax:216-208-1379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty