Provider Demographics
NPI:1588352504
Name:HOUSTON CHILD AND ADULT PSYCHIATRY SERVICES PLLC
Entity type:Organization
Organization Name:HOUSTON CHILD AND ADULT PSYCHIATRY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHFAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-987-5314
Mailing Address - Street 1:9476 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6307
Mailing Address - Country:US
Mailing Address - Phone:469-942-9937
Mailing Address - Fax:469-902-2187
Practice Address - Street 1:7103 S PEEK RD STE 220
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3504
Practice Address - Country:US
Practice Address - Phone:469-942-9937
Practice Address - Fax:469-902-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty