# EAST TEXAS PSYCHIATRY ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790832749
- **Authorized official:** DR. SHAHROKH SAFARIMARYAKI M.D. (OWNER)
- **Authorized official phone:** (903) 297-6500

## Contact information

- **Practice address:** 22 BERMUDA LN, LONGVIEW, TX 75605-2902
- **Practice address phone:** (903) 297-6500
- **Practice address fax:** (903) 663-1085
- **Mailing address:** PO BOX 5329, LONGVIEW, TX 75608-5329
- **Mailing address phone:** (903) 297-6500
- **Mailing address fax:** (903) 663-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | TX | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/19/2008