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NPI Code Detail

MEDICARE: MEDCARE CLINICS PLLC

MEDICARE: MEDCARE CLINICS PLLC
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
12084P0804XChild & Adolescent Psychiatry PhysicianL5229TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H82278OTHERUPIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609054709
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCARE CLINICS PLLC
Provider Business Mailing Address
First Line : 12828 WILLOW CTR
Second Line : SUITE E
City : HOUSTON
State : TX
Zip : 77066-3043
Country : US
Telephone Number : 281-893-3656
Fax Number : 281-893-3464
Provider Business Practice Location Address
First Line : 12828 WILLOW CTR
Second Line : SUITE E
City : HOUSTON
State : TX
Zip : 77066-3043
Country : US
Telephone Number : 281-893-3656
Fax Number : 281-893-3464
Authorized Official
Title or Position : OWNER
Name : DR. IFEOMA N ARENE
Credential : M.D.
Telephone Number : 281-893-3656
Provider Enumeration Date : 01/31/2008
Last Update Date : 06/15/2010

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Directions to “MEDCARE CLINICS PLLC ” Practice Location

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