Provider Demographics
NPI:1285397232
Name:PLANO BEHAVIORAL HELATH, PLLC
Entity type:Organization
Organization Name:PLANO BEHAVIORAL HELATH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-849-9511
Mailing Address - Street 1:2301 OHIO DR STE 295
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3998
Mailing Address - Country:US
Mailing Address - Phone:972-849-9597
Mailing Address - Fax:972-596-1987
Practice Address - Street 1:2301 OHIO DR STE 295
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3998
Practice Address - Country:US
Practice Address - Phone:972-849-9597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX56MBOtherBCBS