Organization Active NPI

Medcare Clinc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1386807659
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
L5229 Issued in TX
Legal business name
MEDCARE CLINC
Practice address
12834 Willow Ctr Ste E
Houston, TX 77066-3047
Phone
(281) 893-3656
Fax
(281) 896-3464
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ifeoma N Arene, M.D.NPI 1780642488
Title
Owner
Phone
(281) 893-3656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X L5229 TX Primary

Addresses

Primary practice location

12834 Willow Ctr Ste E
Houston, TX 77066-3047

Mailing address

12834 Willow Ctr Ste E
Houston, TX 77066-3047
Phone (281) 893-3656

Other identifiers 2

IdentifierTypeStateIssuer
0063RHOtherTXBLUE CROSS GROUP
8BG010OtherTXBLUE CROSS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Medcare Clinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1386807659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12834 WILLOW CTR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663047",
            "telephone_number": "281-893-3656",
            "fax_number": "281-896-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12834 WILLOW CTR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663047",
            "telephone_number": "281-893-3656",
            "fax_number": "281-896-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE CLINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ARENE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-893-3656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "L5229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "0063RH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "8BG010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.