Provider Demographics
NPI:1891934345
Name:MY CARE CLINIC, INC
Entity Type:Organization
Organization Name:MY CARE CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:TONEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-261-3080
Mailing Address - Street 1:6719 W MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3105
Mailing Address - Country:US
Mailing Address - Phone:281-568-3399
Mailing Address - Fax:
Practice Address - Street 1:6719 W MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3105
Practice Address - Country:US
Practice Address - Phone:281-568-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty