Envision Mindcare of Texas LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ENVISION MINDCARE OF TEXAS LLC

Practice address

12930 Dairy Ashford Rd Ste 103
Sugar Land, TX 77478-4666

Phone

(832) 626-5192

Fax

(832) 310-1158

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Randy Warner, MD

Title

Owner

Phone

(832) 626-5192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1487419404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 DAIRY ASHFORD RD STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784666",
            "telephone_number": "832-626-5192",
            "fax_number": "832-310-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 DAIRY ASHFORD RD STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784666",
            "telephone_number": "832-626-5192",
            "fax_number": "832-310-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MINDCARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-626-5192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.