Organization
SHAMROCK PSYCHIATRIC CLINIC P A
Active
Other names
Shamrock Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURUSWAMI K RAVICHANDRAN M.D. (MANAGER)
(713) 988-9911
Entity
Organization
Contact information
Practice address
6420 HILLCROFT ST, 411, HOUSTON, TX 77081-3190
(713) 988-9911
(713) 995-4205
Mailing address
6420 HILLCROFT ST, 411, HOUSTON, TX 77081-3190
(713) 988-9911
(713) 995-4205
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F3588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082622401
—
TX
Enumeration date
07/31/2007
Last updated
03/07/2017
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