Organization
INTRACARE BEHAVIORAL HEALTH CLINIC
Active
Other names
IntraCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEO SHANKER (PRESIDENT)
(832) 249-3566
Entity
Organization
Contact information
Practice address
2626 S LOOP W, 430, HOUSTON, TX 77054-2654
(713) 333-3771
(713) 333-3772
Mailing address
2626 S LOOP W, 430, HOUSTON, TX 77054-2654
(713) 333-3771
(713) 333-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
09/27/2011
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