Organization
MEDCARE PEDIATRIC REHAB CENTER, 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) 773-5100
Entity
Organization
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477
(713) 995-9292
(281) 207-0659
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 773-5100
(713) 773-5151
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
45-4876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801326-01
—
TX
Enumeration date
05/29/2006
Last updated
11/02/2021
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