Healthcare Provider Details
I. General information
NPI: 1033401989
Provider Name (Legal Business Name): INPATIENT MEDCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2011
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 STAPLES RD
SAN MARCOS TX
78666-1426
US
IV. Provider business mailing address
611 STAPLES RD
SAN MARCOS TX
78666-1426
US
V. Phone/Fax
- Phone: 512-535-0322
- Fax: 512-535-6002
- Phone: 512-535-0322
- Fax: 512-535-6002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
BUZENAS
Title or Position: OWNER
Credential: MD
Phone: 512-535-0322