Organization
KINGWOOD TMS & PSYCHIATRY
Active
Organization
KINGWOOD TMS & PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE EVANS JR. BSM (OFFICE MANAGER)
(832) 879-2107
Entity
Organization
Contact information
Practice address
20550 TOWNSEN BLVD STE 101, HUMBLE, TX 77338-4445
(832) 879-2107
(832) 442-5044
Mailing address
20550 TOWNSEN BLVD STE 101, HUMBLE, TX 77338-4445
(832) 879-2107
(832) 442-5044
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/10/2018
Last updated
03/12/2018
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