Provider Demographics
NPI:1609054709
Name:MEDCARE CLINICS PLLC
Entity Type:Organization
Organization Name:MEDCARE CLINICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFEOMA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ARENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-893-3656
Mailing Address - Street 1:12828 WILLOW CTR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3043
Mailing Address - Country:US
Mailing Address - Phone:281-893-3656
Mailing Address - Fax:281-893-3464
Practice Address - Street 1:12828 WILLOW CTR
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3043
Practice Address - Country:US
Practice Address - Phone:281-893-3656
Practice Address - Fax:281-893-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL52292084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H82278OtherUPIN
TX157916104Medicaid
TX612728Medicare PIN