Provider Demographics
NPI:1447373535
Name:METROCARE SERVICE
Entity type:Organization
Organization Name:METROCARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:214-948-9950
Mailing Address - Street 1:2631 JOHN WEST RD APT 607
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4997
Mailing Address - Country:US
Mailing Address - Phone:214-321-0154
Mailing Address - Fax:214-948-2474
Practice Address - Street 1:101 N ZANG BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4528
Practice Address - Country:US
Practice Address - Phone:214-948-9950
Practice Address - Fax:214-948-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management