Provider Demographics
NPI:1891002465
Name:HARRIS COUNTY PSYCHIATRIC PLLC
Entity Type:Organization
Organization Name:HARRIS COUNTY PSYCHIATRIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:KISHORE
Authorized Official - Last Name:KAMBHAMPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-239-0356
Mailing Address - Street 1:PO BOX 591695
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-1695
Mailing Address - Country:US
Mailing Address - Phone:713-239-0356
Mailing Address - Fax:
Practice Address - Street 1:3222 BURKE RD
Practice Address - Street 2:SUITE # 107
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1859
Practice Address - Country:US
Practice Address - Phone:713-239-0356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN45062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty