Provider Demographics
NPI:1487352688
Name:PSYCH DOCTORS PLLC
Entity type:Organization
Organization Name:PSYCH DOCTORS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:936-205-1724
Mailing Address - Street 1:2400 N STALLINGS DR STE 13
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75964-1222
Mailing Address - Country:US
Mailing Address - Phone:936-205-1724
Mailing Address - Fax:936-244-4621
Practice Address - Street 1:2400 N STALLINGS DR STE 13
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-1222
Practice Address - Country:US
Practice Address - Phone:936-205-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty