MEDICARE: MEDICAL INSIGHTS & CARE UNLIMITED INC

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	3336M0002X	Mail Order Pharmacy
2	3336C0004X	Compounding Pharmacy
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	3336L0003X	Long Term Care Pharmacy
5	3336H0001X	Home Infusion Therapy Pharmacy
6	3336C0003X	Community/Retail Pharmacy	23373	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4541098	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1033154257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL INSIGHTS & CARE UNLIMITED INC

Provider Business Mailing Address
First Line	:	4610 BELLE PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1820
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	:	713-774-6428
Fax Number	:	713-774-3822

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	10/23/2009

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