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Organization

SENIOR PSYCHOLOGICAL CARE SA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO JAMES BORRELL M.D. (PRESIDENT)
(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
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178774902
TX
Enumeration date
05/26/2006
Last updated
02/12/2009
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