Provider Demographics
NPI:1720613532
Name:FERRUZZI PSYCHIATRIC SERVICES, PLLC
Entity Type:Organization
Organization Name:FERRUZZI PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GIANCARLO
Authorized Official - Middle Name:R
Authorized Official - Last Name:FERRUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-9800
Mailing Address - Street 1:13409 NW MILITARY HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1865
Mailing Address - Country:US
Mailing Address - Phone:210-614-9800
Mailing Address - Fax:210-583-0967
Practice Address - Street 1:13409 NW MILITARY HWY STE 310
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1865
Practice Address - Country:US
Practice Address - Phone:210-614-9800
Practice Address - Fax:210-583-0967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty