Provider Demographics
NPI:1275785206
Name:COMPLETE MED CARE ASSOCIATES AND TREATMENT CENTER
Entity Type:Organization
Organization Name:COMPLETE MED CARE ASSOCIATES AND TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-953-7354
Mailing Address - Street 1:6776 SOUTHWEST FWY STE 175
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2111
Mailing Address - Country:US
Mailing Address - Phone:713-953-7354
Mailing Address - Fax:713-977-4673
Practice Address - Street 1:6776 SOUTHWEST FWY STE 175
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2109
Practice Address - Country:US
Practice Address - Phone:713-953-7354
Practice Address - Fax:713-977-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty