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NPI Code Detail

MEDICARE: SENIOR CONNECTIONS OF TEXAS, PLLC

MEDICARE: SENIOR CONNECTIONS OF TEXAS, PLLC
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
1103TC0700XClinical PsychologistTX

General Provider Information

NPI Number : 1023287992
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CONNECTIONS OF TEXAS, PLLC
Provider Business Mailing Address
First Line : 12012 WICKCHESTER LN
Second Line : SUITE 550
City : HOUSTON
State : TX
Zip : 77079-1229
Country : US
Telephone Number : 832-448-2800
Fax Number : 832-448-2801
Provider Business Practice Location Address
First Line : 1720 N LOGAN ST
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-4931
Country : US
Telephone Number : 832-448-2800
Fax Number : 832-448-2801
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. FRANK FEE
Credential : PHD
Telephone Number : 832-448-2800
Provider Enumeration Date : 02/26/2008
Last Update Date : 03/10/2008

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