Provider Demographics
NPI:1649874728
Name:ABC CARE LLC
Entity type:Organization
Organization Name:ABC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCSIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-626-5424
Mailing Address - Street 1:5201 RIVER OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVER OAKS
Mailing Address - State:TX
Mailing Address - Zip Code:76114-2923
Mailing Address - Country:US
Mailing Address - Phone:817-626-5424
Mailing Address - Fax:
Practice Address - Street 1:5201 RIVER OAKS BLVD
Practice Address - Street 2:
Practice Address - City:RIVER OAKS
Practice Address - State:TX
Practice Address - Zip Code:76114-2923
Practice Address - Country:US
Practice Address - Phone:817-626-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty