Provider Demographics
NPI:1316964257
Name:PLANO PSYCHIATRIC, P.A.
Entity type:Organization
Organization Name:PLANO PSYCHIATRIC, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARDEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:972-985-9975
Mailing Address - Street 1:3028 COMMUNICATIONS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8912
Mailing Address - Country:US
Mailing Address - Phone:972-985-9975
Mailing Address - Fax:972-985-9941
Practice Address - Street 1:3028 COMMUNICATIONS PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8912
Practice Address - Country:US
Practice Address - Phone:972-985-9975
Practice Address - Fax:972-985-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG04242084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTIN