Provider Demographics
NPI:1386499457
Name:GATEWAY PSYCH CARE PLLC
Entity type:Organization
Organization Name:GATEWAY PSYCH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-353-1431
Mailing Address - Street 1:26231 KINGSGATE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0688
Mailing Address - Country:US
Mailing Address - Phone:314-643-9149
Mailing Address - Fax:
Practice Address - Street 1:26231 KINGSGATE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0688
Practice Address - Country:US
Practice Address - Phone:314-643-9149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty