Provider Demographics
NPI:1821207523
Name:PARIS PSYCHIATRIC ASSOCIATES PA
Entity Type:Organization
Organization Name:PARIS PSYCHIATRIC ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-454-7200
Mailing Address - Street 1:PO BOX 975
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-0975
Mailing Address - Country:US
Mailing Address - Phone:903-454-7200
Mailing Address - Fax:903-454-7204
Practice Address - Street 1:2704 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-4114
Practice Address - Country:US
Practice Address - Phone:903-454-7200
Practice Address - Fax:903-454-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ21532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080020301Medicaid
F62306Medicare UPIN
TX080020301Medicaid