Provider Demographics
NPI:1558770735
Name:GOTEXASCARE, LLC
Entity Type:Organization
Organization Name:GOTEXASCARE, LLC
Other - Org Name:MASTERCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-660-9254
Mailing Address - Street 1:3526 E FM 528 RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5003
Mailing Address - Country:US
Mailing Address - Phone:281-422-7144
Mailing Address - Fax:281-422-7153
Practice Address - Street 1:3526 E FM 528 RD STE 100
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5003
Practice Address - Country:US
Practice Address - Phone:281-422-7144
Practice Address - Fax:281-422-7153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service