# MEDCARE PEDIATRIC REHAB CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982254355
- **Authorized official:** PAIGE KINKADE (CEO)
- **Authorized official phone:** (713) 995-9292

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 11/27/2023