MEDICARE: IVY CARR RCP

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	227900000X	Registered Respiratory Therapist	RCP02001446	TX

General Provider Information

NPI Number	:	1326790106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY CARR RCP

Provider Business Mailing Address
First Line	:	3845 CYPRESS CREEK PKWY STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3567
Country	:	US
Telephone Number	:	832-215-8356
Fax Number	:

Provider Business Practice Location Address
First Line	:	3845 CYPRESS CREEK PKWY STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3567
Country	:	US
Telephone Number	:	832-215-8356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2022
Last Update Date	:	06/14/2025

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