Provider Demographics
NPI:1659198224
Name:GROWTHFAIRNESS PSYCHIATRY PLLC
Entity type:Organization
Organization Name:GROWTHFAIRNESS PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:C
Authorized Official - Last Name:OBIAJULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-449-6276
Mailing Address - Street 1:12337 JONES RD STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4951
Mailing Address - Country:US
Mailing Address - Phone:832-449-6276
Mailing Address - Fax:713-554-1811
Practice Address - Street 1:12337 JONES RD STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4951
Practice Address - Country:US
Practice Address - Phone:832-449-6276
Practice Address - Fax:713-554-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty