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NPI Code Detail

MEDICARE: MEDCARE PEDIATRIC THERAPY, LP

MEDICARE: MEDCARE PEDIATRIC THERAPY, LP
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 Agency010414TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010414OTHERTXHOME & COMMUNITY SUPPORT SERVICES - LHH CATEGORY - PEDIATRICS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982651410
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCARE PEDIATRIC THERAPY, LP
Provider Business Mailing Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-779-9300
Fax Number : 713-779-9600
Provider Business Practice Location Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-779-9300
Fax Number : 713-779-9600
Authorized Official
Title or Position : CEO - ADMINISTRATOR
Name : MRS. PAIGE KINKADE
Credential :
Telephone Number : 713-779-9300
Provider Enumeration Date : 05/29/2006
Last Update Date : 05/29/2008

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