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NPI Code Detail

MEDICARE: KIMBERLY CARES, LLC

MEDICARE: KIMBERLY CARES, LLC
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
1261QP2300XPrimary Care Clinic/Center
2261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AP130312OTHERTXTEXAS BON

General Provider Information

NPI Number : 1750823274
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMBERLY CARES, LLC
Provider Business Mailing Address
First Line : 7501 FANNIN ST STE 705
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1958
Country : US
Telephone Number : 346-277-5391
Fax Number : 877-444-6918
Provider Business Practice Location Address
First Line : 7501 FANNIN ST STE 705
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1958
Country : US
Telephone Number : 346-277-5391
Fax Number : 877-444-6918
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : MS. KIMBERLY T BARROW
Credential : NP-C
Telephone Number : 281-925-9495
Provider Enumeration Date : 11/15/2016
Last Update Date : 07/20/2022

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Directions to “KIMBERLY CARES, LLC ” Practice Location

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