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45D2045475 CLIA NUMBER - PRO CARE SPINE CENTER, PLLC D/B/A PRO CARE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 45D2045475

Facility Name: PRO CARE SPINE CENTER, PLLC D/B/A PRO CARE MEDICAL CENTER

Facility Address:
1015 W 39 1/2 STREET
AUSTIN, TX
ZIP 78756
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Facility Phone Number: 512 371-7478

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1396829222

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 45D2045475
LAB Type Physician Office
Facility Name PRO CARE SPINE CENTER, PLLC D/B/A PRO CARE MEDICAL CENTER
Street 1015 W 39 1/2 STREET
City AUSTIN
State TX
ZIP 78756
Phone 512 371-7478
CertificateType 4
CertificateEffectiveDate 8/14/2022
CertificateExpirationDate 8/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024