| Bay Area Psychiatry Services Pc | |
|
3765 S Alameda St Ste 251b Corpus Christi TX 78411-1643 | |
| (361) 884-2904 | |
| (361) 857-0572 |
| Full Name | Bay Area Psychiatry Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3765 S Alameda St Ste 251b, Corpus Christi, Texas |
| Authorized Official Name and Position | Manjunath Balaram (PRESIDENT) |
| Authorized Official Contact | 6052143737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychiatry Services Pc Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 884-2904 | Bay Area Psychiatry Services Pc 3765 S Alameda St Ste 251b Corpus Christi TX 78411-1643 Ph: (361) 884-2904 |
| NPI Number | 1235898701 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 2860885282 |
|---|---|
| Medicare Enrollment ID | O20220208001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898701 | NPI | - | NPPES |
| R3026 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Manjunath Balaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790042836 PECOS PAC ID: 1254560428 Enrollment ID: I20180126000669 |
| Provider Name | Angela Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487301826 PECOS PAC ID: 3577950153 Enrollment ID: I20220428002757 |
| Provider Name | Ambar Lizzette Bratcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437841327 PECOS PAC ID: 2769840826 Enrollment ID: I20230621003057 |
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