Provider Demographics
NPI:1184925182
Name:AMTEX CARE GROUP LLC
Entity type:Organization
Organization Name:AMTEX CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIECTOR OF OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:O
Authorized Official - Last Name:IKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-426-4200
Mailing Address - Street 1:3111 CORNELL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-5841
Mailing Address - Country:US
Mailing Address - Phone:713-426-4200
Mailing Address - Fax:713-426-4202
Practice Address - Street 1:3111 CORNELL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-5841
Practice Address - Country:US
Practice Address - Phone:713-426-4200
Practice Address - Fax:713-426-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No341600000XTransportation ServicesAmbulance