| Southwest Neuropsychiatry Association Pllc | |
|
1106 Clayton Ln Ste 240w Austin TX 78723-2478 | |
| (737) 471-5402 | |
| (512) 727-6761 |
| Full Name | Southwest Neuropsychiatry Association Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1106 Clayton Ln Ste 240w, Austin, Texas |
| Authorized Official Name and Position | Ramon Aragon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9157778428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Neuropsychiatry Association Pllc 1106 Clayton Ln Ste 240w Austin TX 78723-2478 Ph: (737) 471-5402 | Southwest Neuropsychiatry Association Pllc 1106 Clayton Ln Ste 240w Austin TX 78723-2478 Ph: (737) 471-5402 |
| NPI Number | 1437723491 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 8022415041 |
|---|---|
| Medicare Enrollment ID | O20210917001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437723491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Viridiana Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225591472 PECOS PAC ID: 8820323165 Enrollment ID: I20190710000029 |
| Provider Name | Ramon Aragon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356705891 PECOS PAC ID: 0345532537 Enrollment ID: I20210917001442 |
| Provider Name | Jose Arnulfo Grijalva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932690419 PECOS PAC ID: 6901286616 Enrollment ID: I20220712000017 |
| Provider Name | Fardokht Bahadori-esfahani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891157558 PECOS PAC ID: 8123315496 Enrollment ID: I20250306002234 |
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