1st Medcare Clinic
Family Medicine in Baytown, TX. Organization (NPI-2).
NPI number1962805036
StatusActive
Last updated in NPPESOct 3, 2014
Details
- NPI
- 1962805036
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Medcare Clinic
- Organization subpart
- No
- Enumeration date
- Oct 3, 2014
- Last updated
- Oct 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 132700000X | Dietary Manager | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225700000X | Massage Therapist | – | – |
Practice location
2306 N Alexander DrBaytown, TX 77520-3455
Phone 832-877-3380 · Fax 281-428-7247
Mailing address
Po Box 505Bellaire, TX 77402-0505
Phone 832-877-3380 · Fax 282-428-7247
Authorized official
Ben Kodae
President
8328773380
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