MEDICARE: BOBBETTE FLAMER TRICE 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	65651	TX

General Provider Information

NPI Number	:	1881351260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBETTE FLAMER TRICE LCSW

Provider Business Mailing Address
First Line	:	2627 CAROLINE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-1114
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Provider Business Practice Location Address
First Line	:	5410 ASPEN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6602
Country	:	US
Telephone Number	:	832-671-4800
Fax Number	:

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

Provider Enumeration Date	:	11/20/2021
Last Update Date	:	07/18/2022

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