Organization
PRIME PSYCHIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFOSA AIRUEHIA MD (PHYSICIAN)
(469) 777-4691
Entity
Organization
Contact information
Practice address
11330 LEGACY DR STE 103, FRISCO, TX 75033-1210
(469) 777-4691
(469) 777-4542
Mailing address
11330 LEGACY DR STE 103, FRISCO, TX 75033-1210
(469) 777-4691
(469) 777-4542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
Q2227
TX
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/23/2015
Last updated
10/16/2025
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