NPI | 1396829222 |
---|---|
Doing Business As | PRO-CARE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BRENT BOECKING CEO 512-371-7478 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1732) |
Additional Taxonomies | 207Q00000X Family Medicine |
208100000X Physical Medicine & Rehabilitation | |
2083X0100X Preventive Medicine, Occupational Medicine | |
111N00000X Chiropractor (Licence: TX 9693) | |
204R00000X Electrodiagnostic Medicine | |
207LP2900X Anesthesiology, Pain Medicine | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
208D00000X General Practice (Licence: TX F9289) | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2016-09-21 |