Provider Demographics
NPI:1568847879
Name:MED CARE TO YOU MANAGEMENT, INC
Entity Type:Organization
Organization Name:MED CARE TO YOU MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-985-6640
Mailing Address - Street 1:4582 KINGWOOD DRIVE
Mailing Address - Street 2:SUITE E107
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345
Mailing Address - Country:US
Mailing Address - Phone:888-985-6640
Mailing Address - Fax:
Practice Address - Street 1:4582 KINGWOOD DRIVE
Practice Address - Street 2:SUITE E107
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345
Practice Address - Country:US
Practice Address - Phone:888-985-6640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty