MEDICARE: OUTPATIENT CLINICAL CARE, P.A.

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	207Q00000X	Family Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician	J5851	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447255179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTPATIENT CLINICAL CARE, P.A.

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY STE 650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1809
Country	:	US
Telephone Number	:	713-218-7300
Fax Number	:	713-218-7221

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY STE 650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1809
Country	:	US
Telephone Number	:	713-218-7300
Fax Number	:	713-218-7221

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. RAMIRO SANCHEZ
Credential	:	M.D.
Telephone Number	:	713-218-7300

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/30/2018

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Directions to “OUTPATIENT CLINICAL CARE, P.A. ” Practice Location

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