Provider Demographics
NPI:1043231400
Name:TOPCARE MEDICAL PA
Entity Type:Organization
Organization Name:TOPCARE MEDICAL PA
Other - Org Name:CLINICAS MI DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-957-3000
Mailing Address - Street 1:300 E JOHN CARPENTER FWY
Mailing Address - Street 2:SUITE 850
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3589
Mailing Address - Country:US
Mailing Address - Phone:972-357-3000
Mailing Address - Fax:972-957-3000
Practice Address - Street 1:300 E JOHN CARPENTER FWY
Practice Address - Street 2:SUITE 850
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3589
Practice Address - Country:US
Practice Address - Phone:972-357-3000
Practice Address - Fax:972-957-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168165201Medicaid
TX168165202Medicaid
TX2053027-01Medicaid
TX2019515-01Medicaid
TX2021230-01Medicaid
TX0A3714Medicare PIN
TX00438WMedicare PIN
TX2019515-01Medicaid
TX2053027-01Medicaid