Organization
MEDCARE PEDIATRIC THERAPY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN JOLLY R.N. (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
010414
TX
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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