Provider Demographics
NPI:1598719072
Name:TEXACARE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:TEXACARE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-271-6321
Mailing Address - Street 1:8700 COMMERCE PARK DRIVE
Mailing Address - Street 2:SUITE NO. 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-271-6321
Mailing Address - Fax:713-271-6363
Practice Address - Street 1:4530 BAGLEY GARDEN CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:713-271-6321
Practice Address - Fax:713-271-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018022251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679150Medicare ID - Type UnspecifiedHOME HEALTH SERVICES