# MEDCARE PEDIATRIC REHAB CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDCARE PEDIATRIC GROUP, LP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144277674
- **Legal business name:** MEDCARE PEDIATRIC GROUP, LP
- **Authorized official:** MRS. PAIGE KINKADE (CEO - ADMINISTRATOR)
- **Authorized official phone:** (713) 773-5100

## Contact information

- **Practice address:** 12371 S KIRKWOOD RD, STAFFORD, TX 77477
- **Practice address phone:** (713) 995-9292
- **Practice address fax:** (281) 207-0659
- **Mailing address:** 12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
- **Mailing address phone:** (713) 773-5100
- **Mailing address fax:** (713) 773-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 45-4876 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 11/02/2021