Provider Demographics
NPI:1306094974
Name:DENTON PSYCHIATRY CLINIC
Entity type:Organization
Organization Name:DENTON PSYCHIATRY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEE
Authorized Official - Middle Name:
Authorized Official - Last Name:THEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-984-1404
Mailing Address - Street 1:PO BOX 8796
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-1234
Mailing Address - Country:US
Mailing Address - Phone:972-984-1404
Mailing Address - Fax:888-509-1644
Practice Address - Street 1:860 HEBRON PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5003
Practice Address - Country:US
Practice Address - Phone:972-984-1404
Practice Address - Fax:888-509-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1215103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty