Provider Demographics
NPI:1194917260
Name:MIDLAND HEALTH CARE SERVICES,INC.
Entity type:Organization
Organization Name:MIDLAND HEALTH CARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ITA
Authorized Official - Last Name:UDEOBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-886-4539
Mailing Address - Street 1:7402 PAVILION DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6927
Mailing Address - Country:US
Mailing Address - Phone:832-886-4539
Mailing Address - Fax:832-886-4690
Practice Address - Street 1:7402 PAVILION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6927
Practice Address - Country:US
Practice Address - Phone:832-886-4539
Practice Address - Fax:832-886-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011219251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health