Organization
SENIOR PSYCHOLOGICAL CARE SA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ABILIO CAMPOS (HUMAN RESOURCES)
(713) 850-0049
Entity
Organization
Contact information
Practice address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 850-0036
Mailing address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 850-0036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
760675
TX
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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