Provider Demographics
NPI:1205695103
Name:ULT PSYCHIATRY SERVICES LLC
Entity type:Organization
Organization Name:ULT PSYCHIATRY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NNAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-562-9553
Mailing Address - Street 1:801 FM 1463 RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7925
Mailing Address - Country:US
Mailing Address - Phone:281-562-9553
Mailing Address - Fax:281-562-9553
Practice Address - Street 1:801 FM 1463 RD STE 200
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7925
Practice Address - Country:US
Practice Address - Phone:281-562-9553
Practice Address - Fax:281-562-9553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty