Provider Demographics
NPI:1326354515
Name:PRAC
Entity Type:Organization
Organization Name:PRAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:EULIRATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-236-7061
Mailing Address - Street 1:23715 AYSCOUGH LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3419
Mailing Address - Country:US
Mailing Address - Phone:281-236-7061
Mailing Address - Fax:
Practice Address - Street 1:23715 AYSCOUGH LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3419
Practice Address - Country:US
Practice Address - Phone:281-236-7061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07344684385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child