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Organization
SENIOR CONNECTIONS OF TEXAS PLLC
Active
Organization
SENIOR CONNECTIONS OF TEXAS PLLC
Active
Other names
Senior Connections of Houston PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL G THORNELL (BILLING SUPERVISOR)
(832) 448-2800
Entity
Organization
Contact information
Practice address
605 N HIGHWAY 290, ELGIN, TX 78621-2510
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LANE, SUITE 550, HOUSTON, TX 77079
(832) 448-2800
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074AE
BCBS
TX
01
—
CG4009
RAIL ROAD MEDICARE
TX
Enumeration date
05/04/2006
Last updated
03/14/2008
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