Root Psychiatry Pllc | |
12880 Hillcrest Rd Ste 104 Dallas TX 75230-6557 | |
(214) 271-4290 | |
(786) 347-6009 |
Full Name | Root Psychiatry Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 12880 Hillcrest Rd Ste 104, Dallas, Texas |
Authorized Official Name and Position | Param Sahgal (AUTHORIZED OFFICAL) |
Authorized Official Contact | 2142714290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Root Psychiatry Pllc 3419 Westminster Ave # 1029 Dallas TX 75205-1387 Ph: (214) 271-4290 | Root Psychiatry Pllc 12880 Hillcrest Rd Ste 104 Dallas TX 75230-6557 Ph: (214) 271-4290 |
NPI Number | 1790549558 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 01/03/2025 |
Certification Date | 01/03/2025 |
Medicare PECOS PAC ID | 8729516661 |
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Medicare Enrollment ID | O20250106003833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790549558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Param Sahgal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013497981 PECOS PAC ID: 4385059609 Enrollment ID: I20210219000510 |
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