Provider Demographics
NPI:1184077380
Name:CARE DRIVEN SENIOR CARE PLLC
Entity type:Organization
Organization Name:CARE DRIVEN SENIOR CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-719-2558
Mailing Address - Street 1:320 DECKER DR
Mailing Address - Street 2:SUITE 178
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3937
Mailing Address - Country:US
Mailing Address - Phone:972-719-2558
Mailing Address - Fax:817-742-0038
Practice Address - Street 1:320 DECKER DR
Practice Address - Street 2:SUITE 178
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3937
Practice Address - Country:US
Practice Address - Phone:972-719-2558
Practice Address - Fax:817-742-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty