PRO-CARE SPINE CENTER PLLC NPI 1407395353

NPI Information

PRO-CARE SPINE CENTER, PLLC is a general practice in San Antonio, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRO-CARE SPINE CENTER, PLLC NPI is 1407395353. 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:

9727 POTEET JOURDANTON FWY
SUITE 101
SAN ANTONIO, TX
ZIP 78211-574
Phone: (210) 881-0630
Fax: (210) 641-1608

The provider's authorized official is Garland 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 45D2060794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.

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:

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