Provider Demographics
NPI:1992110886
Name:PREMIER PSYCHIATRIC & SLEEP MEDICINE ASSOCIATES, PLLC
Entity type:Organization
Organization Name:PREMIER PSYCHIATRIC & SLEEP MEDICINE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JAWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:972-985-7499
Mailing Address - Street 1:121 W LAMBERTH RD STE A
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2662
Mailing Address - Country:US
Mailing Address - Phone:972-985-7499
Mailing Address - Fax:972-985-7429
Practice Address - Street 1:935 W EXCHANGE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7076
Practice Address - Country:US
Practice Address - Phone:972-985-7499
Practice Address - Fax:972-985-7429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPL67102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX326610801Medicaid
TX326610801Medicaid
TXOTHOOOMedicare UPIN