East Texas Psychiatry Associates is a Psychiatry | Child & Adolescent Clinic in Longview, Texas. It is located at 22 Bermuda Ln, Longview, TX and its contact number is 903-297-6500. The authorized person for East Texas Psychiatry Associates is Dr. Shahrokh Safarimaryaki
who is Owner of the clinic and his/her contact number is 903-297-6500. East Texas Psychiatry Associates Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
East Texas Psychiatry Associates Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
East Texas Psychiatry Associates
Specialization:
Child & Adolescent
Clinic Address:
22 Bermuda Ln, Longview, Texas, 75605-2902
Phone:
903-297-6500
Fax:
903-663-1085
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Shahrokh Safarimaryaki
Position:
Owner
Contact Number:
903-297-6500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Texas Psychiatry Associates clinic are as mentioned below.
NPI Number:
1790832749
NPI Enumeration Date:
04 Jan, 2007
NPI Last Update On:
19 Sep, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Texas Psychiatry Associates are as mentioned below.
Specialization
License Number
State
Status
Child & Adolescent Psychiatry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
171015401
Medicaid
Texas
0098KZ
Other
Texas
Bcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
East Texas Psychiatry Associates Po Box 5329, Longview, Texas
Zip:
75608-5329
Phone Number:
903-297-6500
Fax Number:
903-663-1085
Patients can reach East Texas Psychiatry Associates at 22 Bermuda Ln, Longview, Texas or can call to book an appointment on 903-297-6500. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.