Provider Demographics
NPI:1124202411
Name:THE CARE GROUP OF TEXAS
Entity Type:Organization
Organization Name:THE CARE GROUP OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:OLALEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT/RCP
Authorized Official - Phone:713-578-2458
Mailing Address - Street 1:9299 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2520
Mailing Address - Country:US
Mailing Address - Phone:713-383-2100
Mailing Address - Fax:713-383-2113
Practice Address - Street 1:9299 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2520
Practice Address - Country:US
Practice Address - Phone:713-383-2100
Practice Address - Fax:713-383-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54845332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12733393-01Medicaid