Central Texas Psychiatry, PA

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

K3965 Issued in TX

Legal business name

CENTRAL TEXAS PSYCHIATRY, PA

Practice address

7200 Wyoming SPGS
Suite 1000
Round Rock, TX 78681-4303

Phone

(512) 310-8026

Fax

(512) 310-8852

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shanawar Alam, MD

Title

Owner

Phone

(512) 310-8026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629273024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "SUITE 1000",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-310-8026",
            "fax_number": "512-310-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "SUITE 1000",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-310-8026",
            "fax_number": "512-310-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS PSYCHIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "SHANAWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-310-8026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "TX",
            "license": "K3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Texas Neurology Consultants, PA
• Central Texas Pain Center, PLLC (Central Texas Pain Center)
• Central Texas Pain Center, PLLC
• Central Texas Pediatric Orthopedics and Scoliosis Surgery PA
• Central Texas Plastic Surgery PA
• Central Texas Surgical Associates
• Central Tox, LLC
• Liezet Alexis Cepeda, M.D.
• Kelsey Cerruto, PSYD
• Danielle Cervenka

• Independent Medical Examiner Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Independent Medical Examiner Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.