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
PAIGE KINKADE (CEO)
(713) 995-9292
Entity
Organization
Contact information
Practice address
21004 INTERSTATE 45 N, SPRING, TX 77373-2917
(713) 773-5120
(281) 288-8636
Mailing address
21004 INTERSTATE 45 N, SPRING, TX 77373-2917
(713) 773-5120
(281) 288-8636
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801326-01
—
TX
Enumeration date
05/11/2017
Last updated
05/11/2017
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