MEDICARE: MS. PATRICIA G KAYE MSSW LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	02460	TX

General Provider Information

NPI Number	:	1477696631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA G KAYE MSSW LCSW

Provider Business Mailing Address
First Line	:	6300 WEST LOOP SOUTH
Second Line	:	SUITE 235
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2903
Country	:	US
Telephone Number	:	713-839-9186
Fax Number	:	713-839-8876

Provider Business Practice Location Address
First Line	:	6300 WEST LOOP SOUTH
Second Line	:	SUITE 235
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2903
Country	:	US
Telephone Number	:	713-839-9186
Fax Number	:	713-839-8876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/08/2007

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