| Family Psychiatry Of The Woodlands Pa | |
|
8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 | |
| (281) 367-1015 | |
| (281) 367-1966 |
| Full Name | Family Psychiatry Of The Woodlands Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8701 New Trails Dr Ste 150, The Woodlands, Texas |
| Authorized Official Name and Position | Marshall B Lucas (OWNER) |
| Authorized Official Contact | 2813671015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychiatry Of The Woodlands Pa 8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 Ph: (281) 367-1015 | Family Psychiatry Of The Woodlands Pa 8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 Ph: (281) 367-1015 |
| NPI Number | 1366562225 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Medicare PECOS PAC ID | 7315952801 |
|---|---|
| Medicare Enrollment ID | O20060221000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366562225 | NPI | - | NPPES |
| Provider Name | Marshall B Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700970282 PECOS PAC ID: 2860407350 Enrollment ID: I20060221000303 |
| Provider Name | Brian D Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841636404 PECOS PAC ID: 1456690080 Enrollment ID: I20190226003089 |
| Provider Name | Mark Lejsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891016010 PECOS PAC ID: 4082953393 Enrollment ID: I20190305000624 |
| Provider Name | Kathleen E Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295497808 PECOS PAC ID: 2860880531 Enrollment ID: I20211029000184 |
| Provider Name | Comfort Ubakanwa Ibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689219230 PECOS PAC ID: 7911396262 Enrollment ID: I20211108002764 |
| Provider Name | Mira Pistillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336970086 PECOS PAC ID: 5294269312 Enrollment ID: I20241112004535 |
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