Organization
EMACULATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAROCKA S TATUM RN (OWNER)
(281) 967-4186
Entity
Organization
Contact information
Practice address
21235 FIRE WIND CT, SPRING, TX 77379-8253
(281) 967-4186
Mailing address
21235 FIRE WIND CT, SPRING, TX 77379-8253
(281) 967-4186
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245613280
—
TX
Enumeration date
11/02/2018
Last updated
11/02/2018
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