Provider Demographics
NPI:1922592336
Name:INSIGHT BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMNEESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAWEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:430-200-2793
Mailing Address - Street 1:PO BOX 5017
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5017
Mailing Address - Country:US
Mailing Address - Phone:430-200-2793
Mailing Address - Fax:903-231-0142
Practice Address - Street 1:5323 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1827
Practice Address - Country:US
Practice Address - Phone:430-200-2793
Practice Address - Fax:903-231-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37729701Medicaid