Provider Demographics
NPI:1285187294
Name:CARE TO YOU HEALTH SERVICE PROVIDERS, PLLC
Entity Type:Organization
Organization Name:CARE TO YOU HEALTH SERVICE PROVIDERS, PLLC
Other - Org Name:CARE TO YOU PROVIDER SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-812-3795
Mailing Address - Street 1:PO BOX 4248
Mailing Address - Street 2:DEPT 757
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4248
Mailing Address - Country:US
Mailing Address - Phone:281-812-3795
Mailing Address - Fax:281-812-3796
Practice Address - Street 1:12327 GRAND ARCHES LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3690
Practice Address - Country:US
Practice Address - Phone:281-812-3795
Practice Address - Fax:281-812-3796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX525569Medicare PIN