Organization
MAXICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUE GINGER PHAM (PRESIDENT-OWNER)
(713) 382-4406
Entity
Organization
Contact information
Practice address
17512 HWY 6 S. # F9, MANVEL, TX 77578-3749
(713) 382-4406
(281) 656-4504
Mailing address
17512 HWY 6 S. # F9, MANVEL, TX 77578-3749
(713) 382-4406
(281) 656-4504
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
012331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012331
—
TX
Enumeration date
12/11/2008
Last updated
11/08/2021
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