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NPI Code Detail

MEDICARE: MR. PAUL CALUSCOS LCSW

MEDICARE: MR. PAUL CALUSCOS 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 Worker69680TX

General Provider Information

NPI Number : 1831816974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL CALUSCOS LCSW
Provider Business Mailing Address
First Line : 310 SUL ROSS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 310 SUL ROSS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5116
Country : US
Telephone Number : 713-742-3572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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