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NPI Code Detail

MEDICARE: BOBBIN JOSEPH LCSW

MEDICARE: BOBBIN JOSEPH 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
11041C0700XClinical Social Worker54841TX

General Provider Information

NPI Number : 1356734180
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIN JOSEPH LCSW
Provider Business Mailing Address
First Line : PO BOX 550769
Second Line :
City : HOUSTON
State : TX
Zip : 77255-0769
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Provider Business Practice Location Address
First Line : 7787 PINEMONT DR STE B
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6216
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2015
Last Update Date : 03/18/2015

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