Provider Demographics
NPI:1750823274
Name:KIMBERLY CARES, LLC
Entity Type:Organization
Organization Name:KIMBERLY CARES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BARROW
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:281-925-9495
Mailing Address - Street 1:7501 FANNIN ST STE 705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1958
Mailing Address - Country:US
Mailing Address - Phone:346-277-5391
Mailing Address - Fax:877-444-6918
Practice Address - Street 1:7501 FANNIN ST STE 705
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1958
Practice Address - Country:US
Practice Address - Phone:346-277-5391
Practice Address - Fax:877-444-6918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX368073801Medicaid
TXAP130312OtherTEXAS BON