Provider Demographics
NPI:1982899100
Name:ASSOCIATED PSYCHIATRIC CONSULTANTS OF NORTH HOUSTON INC
Entity type:Organization
Organization Name:ASSOCIATED PSYCHIATRIC CONSULTANTS OF NORTH HOUSTON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-358-4747
Mailing Address - Street 1:PO BOX 6663
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-6663
Mailing Address - Country:US
Mailing Address - Phone:281-358-4747
Mailing Address - Fax:281-358-2213
Practice Address - Street 1:2527 CHESTNUT RIDGE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3031
Practice Address - Country:US
Practice Address - Phone:281-358-4747
Practice Address - Fax:281-358-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH31602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19828991-01Medicaid
TX=========OtherEIN