| Organization Name: | MEDCARE PEDIATRIC REHAB CENTER, LP |
| NPI Number: | 1144277674 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAIGE KINKADE (CEO - ADMINISTRATOR) |
| Mailing Address: | 21004 Interstate 45 N Spring |
| State: | TX US |
| Postal Code: | 773732917 |
| Phone Number: | 7137735120 |
| Fax Number: | 2812888636 |
| NPI Enumeration Date: | 05/29/2006 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100266 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |