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NPI Code Detail

MEDICARE: L. PAIGE KINKADE D/B/A MEDCARE PROFESSINAL GROUP

MEDICARE: L. PAIGE KINKADE D/B/A MEDCARE PROFESSINAL GROUP
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
1251E00000XHome Health Agency002774TX

General Provider Information

NPI Number : 1962459495
Entity Type Code : Organization
Provider Name (Legal Business Name) : L. PAIGE KINKADE D/B/A MEDCARE PROFESSINAL GROUP
Provider Business Mailing Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-995-9292
Fax Number : 713-995-4402
Provider Business Practice Location Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-995-9292
Fax Number : 713-995-4402
Authorized Official
Title or Position : CEO - ADMINISTRATOR
Name : MRS. PAIGE KINKADE
Credential :
Telephone Number : 713-995-9292
Provider Enumeration Date : 05/29/2006
Last Update Date : 08/22/2020

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