| Center For Integrative Psychiatry | |
|
580 S Denton Tap Rd Ste 250 Coppell TX 75019-4005 | |
| (917) 287-8207 | |
| Not Available |
| Full Name | Center For Integrative Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 580 S Denton Tap Rd Ste 250, Coppell, Texas |
| Authorized Official Name and Position | Tahir N Khwaja (OWNER) |
| Authorized Official Contact | 9172878207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative Psychiatry 580 S Denton Tap Rd Ste 250 Coppell TX 75019-4005 Ph: (917) 287-8207 | Center For Integrative Psychiatry 580 S Denton Tap Rd Ste 250 Coppell TX 75019-4005 Ph: (917) 287-8207 |
| NPI Number | 1902532591 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Medicare PECOS PAC ID | 3274901160 |
|---|---|
| Medicare Enrollment ID | O20221128000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902532591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20200316000816 |
| Provider Name | Emery Justine Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114635729 PECOS PAC ID: 1658743513 Enrollment ID: I20230202002529 |
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