MEDICARE: MEDKARE

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1902424518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDKARE

Provider Business Mailing Address
First Line	:	5207 MILWEE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6619
Country	:	US
Telephone Number	:	713-818-8982
Fax Number	:

Provider Business Practice Location Address
First Line	:	2426 LAKE KOLBE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2562
Country	:	US
Telephone Number	:	713-818-8982
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KRISTEN ARNDT WEIBEL
Credential	:	MD
Telephone Number	:	713-818-8982

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	07/09/2020

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