Organization
TRI CITY PSYCHIATRIC SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASIQ ALI ZAIDI M.D. (PRESIDENT)
(405) 473-7661
Entity
Organization
Contact information
Practice address
3600 S COOPER ST, #100, ARLINGTON, TX 76015-3405
(817) 200-6680
Mailing address
PO BOX 541177, GRAND PRAIRIE, TX 75054-1177
(817) 200-6680
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
M7783
TX
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070QU
BCBS
TX
01
—
DO4480
MEDICARE RAILROAD
TX
Enumeration date
11/21/2007
Last updated
07/02/2009
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