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Contact Information

SENIOR PSYCHCARE OF DALLAS I, PLLC
4635 SOUTHWEST FWY STE 635
HOUSTON, TX77027-7112
 Phone: 713-850-0049
 Fax: 713-627-7302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Family

363LF0000X 50 Nurse Practitioner
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SENIOR PSYCHCARE OF DALLAS I, PLLC

NPI Number 1942596903
LBN Legal business name SENIOR PSYCHCARE OF DALLAS I, PLLC
Authorized official RANDALL FRAPART - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/28/2011
Last updated 12/13/2018 - About 7 years ago
Identifiers
TX Medicaid 288003101
TX Medicaid 288003102
TX Medicaid 288003103
TX Medicaid 288003104
TX Other 0095WY BCBS TX
TX Other DS2656 RR MCR HARRIS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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