| Organization Name: | PSYCHIATRIC CONSULTANTS OF FT WORTH PA |
| NPI Number: | 1093904385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRWIN SCHUSSLER (PRESIDENT) |
| Mailing Address: | 3704 Mattison Ave Ft Worth |
| State: | TX US |
| Postal Code: | 761072619 |
| Phone Number: | 8177328441 |
| Fax Number: | 8177321833 |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |