Provider Demographics
NPI:1417251885
Name:RITECARE MEDICAL CLINIC & REHAB
Entity Type:Organization
Organization Name:RITECARE MEDICAL CLINIC & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IGBO
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-433-7877
Mailing Address - Street 1:6420 HILLCROFT ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3190
Mailing Address - Country:US
Mailing Address - Phone:832-433-7877
Mailing Address - Fax:832-203-8263
Practice Address - Street 1:6420 HILLCROFT ST
Practice Address - Street 2:SUITE 311
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3190
Practice Address - Country:US
Practice Address - Phone:832-433-7877
Practice Address - Fax:832-203-8263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation