Organization
AI PSYCHIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADNAN IQBAL MD (OWNER)
(917) 336-8422
Entity
Organization
Contact information
Practice address
2118 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-6512
(515) 745-6288
Mailing address
301 BOULDER DR, SOUTHLAKE, TX 76092-3726
(817) 960-6627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
01/19/2024
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