| Sbn Professional Psychiatry Corp | |
|
3025 E. Renner Road #120 Richardson TX 75082 | |
| (972) 295-9008 | |
| (972) 688-6169 |
| Full Name | Sbn Professional Psychiatry Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3025 E. Renner Road, Richardson, Texas |
| Authorized Official Name and Position | Bushra Aziz (CEO) |
| Authorized Official Contact | 2143209000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbn Professional Psychiatry Corp 3025 E. Renner Road #120 Richardson TX 75082 Ph: (972) 295-9008 | Sbn Professional Psychiatry Corp 3025 E. Renner Road #120 Richardson TX 75082 Ph: (972) 295-9008 |
| NPI Number | 1750765368 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 06/12/2022 |
| Certification Date | 06/12/2022 |
| Medicare PECOS PAC ID | 5991006223 |
|---|---|
| Medicare Enrollment ID | O20151210001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750765368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bushra Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730392549 PECOS PAC ID: 7911177597 Enrollment ID: I20130227000212 |
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