Organization
PSYCH MD TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALAR KUPPAN DNP (OWNER/PROVIDER/MEMBER/ADMIN)
(623) 261-5258
Entity
Organization
Contact information
Practice address
3537 S INTERSTATE 35 E STE 311, DENTON, TX 76210-6870
(623) 301-9992
(623) 432-7006
Mailing address
5519 W BANFF LN, GLENDALE, AZ 85306-3045
(623) 261-5258
(623) 432-7006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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