Provider Demographics
NPI:1740451830
Name:BEST CARE CLINIC
Entity type:Organization
Organization Name:BEST CARE CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-661-6262
Mailing Address - Street 1:4009 BELLAIRE BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1169
Mailing Address - Country:US
Mailing Address - Phone:713-661-6262
Mailing Address - Fax:713-661-6611
Practice Address - Street 1:4009 BELLAIRE BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1169
Practice Address - Country:US
Practice Address - Phone:713-661-6262
Practice Address - Fax:713-661-6611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0024RPOtherBLUE CROSS BLUE SHIELD
TX45D0490645OtherCLIA
TXCS3658OtherMEDICARE - RAILROAD
TX085720301Medicaid
TX00U62ZMedicare PIN