Provider Demographics
NPI:1952129017
Name:MEDRM MULTICARE INC
Entity type:Organization
Organization Name:MEDRM MULTICARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODRIGUEZ MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-345-0232
Mailing Address - Street 1:232 E CROSSTIMBERS ST STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-4499
Mailing Address - Country:US
Mailing Address - Phone:832-345-0232
Mailing Address - Fax:
Practice Address - Street 1:232 E CROSSTIMBERS ST STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-4499
Practice Address - Country:US
Practice Address - Phone:832-345-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty