Provider Demographics
NPI:1205053022
Name:STARBRANCH PSYCHIATRY ASSOCIATES
Entity type:Organization
Organization Name:STARBRANCH PSYCHIATRY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:STARBRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-490-7017
Mailing Address - Street 1:2600 GESSNER DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3839
Mailing Address - Country:US
Mailing Address - Phone:713-490-7017
Mailing Address - Fax:281-577-1105
Practice Address - Street 1:2600 GESSNER DR
Practice Address - Street 2:SUITE 280
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3839
Practice Address - Country:US
Practice Address - Phone:713-490-7017
Practice Address - Fax:281-577-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE31502084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0026BYOtherBLUE CROSS
TX0026BYMedicare PIN