Provider Demographics
NPI:1871134304
Name:TEXAS IN HARMONY PSYCHIATRIC GROUP LLC
Entity type:Organization
Organization Name:TEXAS IN HARMONY PSYCHIATRIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KANYONGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, PMHNP-BC
Authorized Official - Phone:214-743-6159
Mailing Address - Street 1:PO BOX 2903
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-2903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7214 HIGHWAY 78 STE 20
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2532
Practice Address - Country:US
Practice Address - Phone:972-454-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-06
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty