Serenity Psychiatry Practice, LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

Q7995 Issued in TX

Legal business name

SERENITY PSYCHIATRY PRACTICE, LLC.

Practice address

17762 Preston Rd
Suite #204
Dallas, TX 75252-5736

Phone

(210) 430-9196

NPI assigned

Sep 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Azhar Ali Abdullah, MD

Title

Psychiatrist

Phone

(210) 430-9196

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1043768138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 PRESTON RD",
            "address_2": "SUITE # 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "210-430-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 PRESTON RD",
            "address_2": "SUITE #204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "210-430-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHIATRY PRACTICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "210-430-9196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "Q7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.