| North Star Psychiatry Pllc | |
|
8201 Ohio Dr Ste 112 Plano TX 75024-2358 | |
| (516) 724-5435 | |
| Not Available |
| Full Name | North Star Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8201 Ohio Dr Ste 112, Plano, Texas |
| Authorized Official Name and Position | Husnain Ashraf (MANAGER) |
| Authorized Official Contact | 5167245435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Psychiatry Pllc 712 Shrewsbury Pl Plano TX 75074-0138 Ph: (516) 724-1259 | North Star Psychiatry Pllc 8201 Ohio Dr Ste 112 Plano TX 75024-2358 Ph: (516) 724-5435 |
| NPI Number | 1194179069 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 2860784915 |
|---|---|
| Medicare Enrollment ID | O20160711000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194179069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Husnain Ashraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083901037 PECOS PAC ID: 5294979282 Enrollment ID: I20151103000320 |
| Provider Name | Veronicah Banga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164011284 PECOS PAC ID: 7719394667 Enrollment ID: I20210322001412 |
| Provider Name | Thanh Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377568 PECOS PAC ID: 9032500657 Enrollment ID: I20211215001518 |
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