Provider Demographics
NPI:1518667526
Name:ICARE MEDICAL SYSTEMS LLC
Entity Type:Organization
Organization Name:ICARE MEDICAL SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-202-6001
Mailing Address - Street 1:3129 KINGSLEY DR STE 420
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8506
Mailing Address - Country:US
Mailing Address - Phone:346-202-6001
Mailing Address - Fax:346-226-6753
Practice Address - Street 1:3129 KINGSLEY DR STE 420
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8506
Practice Address - Country:US
Practice Address - Phone:346-202-6001
Practice Address - Fax:346-226-6753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty