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Organization
MEDCARE PEDIATRIC NURSING, LP
Active
Organization
MEDCARE PEDIATRIC NURSING, LP
Active
Parent organization
MEDCARE PEDIATRIC GROUP, LP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCARE PEDIATRIC GROUP, LP
Authorized official
MRS. PAIGE KINKADE (CEO - ADMINISTRATOR)
(713) 995-9292
Entity
Organization
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 995-4402
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 995-4402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010415
TX
251F00000X
Home Infusion Agency
010415
TX
251J00000X
Nursing Care Agency
010415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010415
HOME & COMMUNITY SUPPORT SERVICES - LHH CATEGORY
TX
05
—
181090501
—
TX
Enumeration date
06/08/2006
Last updated
05/29/2008
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