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
1	103TC0700X	Clinical Psychologist		TX

General Provider Information

NPI Number	:	1831368703
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	:	2806 REAL ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78722-1715
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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