Provider Demographics
NPI:1194297986
Name:ONE CARE OF TEXAS, INC
Entity type:Organization
Organization Name:ONE CARE OF TEXAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNTANETTE
Authorized Official - Middle Name:RACHEAL
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-226-6891
Mailing Address - Street 1:10030 BLACKHAWK BLVD STE G013
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-1004
Mailing Address - Country:US
Mailing Address - Phone:832-339-1179
Mailing Address - Fax:
Practice Address - Street 1:10030 BLACKHAWK BLVD STE G013
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-1004
Practice Address - Country:US
Practice Address - Phone:832-339-1179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3391179OtherANNTANETTE BREWER