Provider Demographics
NPI:1265089296
Name:FIRSTPOINT PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:FIRSTPOINT PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSIEZAGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-663-4556
Mailing Address - Street 1:201 OAK DR S STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5626
Mailing Address - Country:US
Mailing Address - Phone:832-377-1894
Mailing Address - Fax:850-220-1523
Practice Address - Street 1:201 OAK DR S STE 102
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5626
Practice Address - Country:US
Practice Address - Phone:832-377-1894
Practice Address - Fax:850-220-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty