Healthcare Provider Details

I. General information

NPI: 1346947009
Provider Name (Legal Business Name): MEDCARE PARTNERS HOUSTON IPA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21216 NORTHWEST FWY STE 260
CYPRESS TX
77429-4695
US

IV. Provider business mailing address

21216 NORTHWEST FWY STE 260
CYPRESS TX
77429-4695
US

V. Phone/Fax

Practice location:
  • Phone: 714-478-4282
  • Fax:
Mailing address:
  • Phone: 714-478-4282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: ANH V NGUYEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 714-478-4282