PRO-CARE SPINE CENTER PLLC NPI 1699214536

NPI Information

  • NPI: 1699214536
  • Provider Name: PRO-CARE SPINE CENTER, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: PRO-CARE MEDICAL CENTER
  • Address: 7403 W LOOP 1604 N
    SUITE 103
    SAN ANTONIO, TX
    ZIP 78254
  • Phone: (210) 881-0630

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NPI Details

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 1699214536. 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:

7403 W LOOP 1604 N
SUITE 103
SAN ANTONIO, TX
ZIP 78254-888
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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorTEXASNo
2208D00000XGeneral PracticeTEXASYes

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: 11/21/2025

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