Organization
MEDCARE CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEOMA N ARENE M.D. (OWNER)
(281) 893-3656
Entity
Organization
Contact information
Practice address
12834 WILLOW CTR STE E, HOUSTON, TX 77066-3047
(281) 893-3656
(281) 896-3464
Mailing address
12834 WILLOW CTR STE E, HOUSTON, TX 77066-3047
(281) 893-3656
(281) 896-3464
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
L5229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063RH
BLUE CROSS GROUP
TX
01
—
8BG010
BLUE CROSS NUMBER
TX
Enumeration date
07/08/2008
Last updated
07/08/2008
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