Organization
SENIOR PSYCHCARE NPHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J. FRAPART CPA (COO/CFO)
(713) 249-6469
Entity
Organization
Contact information
Practice address
4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027-7112
(713) 850-0049
(713) 627-7302
Mailing address
4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027-7112
(713) 850-0049
(713) 627-7302
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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