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NPI Code Detail

MEDICARE: INTRACARE HOSPITAL

MEDICARE: INTRACARE HOSPITAL
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
1283Q00000XPsychiatric Hospital762TX

General Provider Information

NPI Number : 1538157326
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTRACARE HOSPITAL
Provider Business Mailing Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-790-0949
Fax Number : 713-799-0365
Provider Business Practice Location Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-790-0949
Fax Number : 713-799-0365
Authorized Official
Title or Position : CEO HEALTHCARE OPERATIONS
Name : MR. TERRY SCOVILL
Credential :
Telephone Number : 713-799-0100
Provider Enumeration Date : 10/06/2005
Last Update Date : 07/12/2007

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Directions to “INTRACARE HOSPITAL ” Practice Location

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