MEDICARE: MEDICAL INSIGHTS AND CARE UNLIMITED, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649363169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL INSIGHTS AND CARE UNLIMITED, L.P.

Provider Business Mailing Address
First Line	:	P.O. BOX 721350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77272-1350
Country	:	US
Telephone Number	:	713-774-6428
Fax Number	:	713-774-3822

Provider Business Practice Location Address
First Line	:	4610 BELLE PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1820
Country	:	US
Telephone Number	:	281-933-4520
Fax Number	:	713-774-3822

Authorized Official
Title or Position	:	ADMINISTRATOR/PRESIDENT
Name	:	LUCENA M DEVILLA
Credential	:	RN, MSN, BS
Telephone Number	:	713-774-6428

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	12/30/2016

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