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Organization

MEDCARE PEDIATRIC NURSING, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARYN JOLLY RN (REGULATORY COMPLIANCE MANAGER)
(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
251B00000X
Case Management Agency
Primary
010415
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010415
TX
Enumeration date
12/11/2008
Last updated
12/11/2008
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