Healthcare Provider Details

I. General information

NPI: 1104552322
Provider Name (Legal Business Name): FAMILY PEDIATRIC CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15035 EAST FWY
CHANNELVIEW TX
77530-4151
US

IV. Provider business mailing address

15035 EAST FWY
CHANNELVIEW TX
77530-4151
US

V. Phone/Fax

Practice location:
  • Phone: 832-262-7431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA WHITE
Title or Position: OWNER
Credential:
Phone: 713-261-9571