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PRO-CARE SPINE CENTER LLC NPI 1396829222


NPI Information

NPI: 1396829222
Provider Name: PRO-CARE SPINE CENTER, LLC

Doing Business As: PRO-CARE MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D2045475

Address:
1015 W 39TH 1/2 ST
AUSTIN, TX
ZIP 78756
Phone: (512) 371-7478
Get Directions

PRO-CARE SPINE CENTER, LLC is an internal medicine in Austin, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRO-CARE SPINE CENTER, LLC NPI is 1396829222. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pro-care Medical Center.

The provider's business location address is:

1015 W 39TH 1/2 ST
AUSTIN, TX
ZIP 78756-005
Phone: (512) 371-7478
Fax: (512) 371-3861

The provider's authorized official is Brent Boecking .
The authorized official title is Ceo and has the following contact phone number (512) 371-7478.

The CLIA number assigned to this NPI record is 45D2045475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineTEXASNo
2208100000XPhysical Medicine & RehabilitationTEXASNo
32083X0100XPreventive MedicineOccupational MedicineTEXASNo
4111N00000XChiropractor9693TEXASNo
5204R00000XElectrodiagnostic MedicineTEXASNo
6207LP2900XAnesthesiologyPain MedicineTEXASNo
72084N0400XPsychiatry & NeurologyNeurologyTEXASNo
82084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyTEXASNo
9208D00000XGeneral PracticeF9289TEXASNo
10208VP0000XPain MedicinePain MedicineTEXASNo
11207R00000XInternal MedicineN1732TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.