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Organization
ADVANCE CARE MEDICAL GROUP, PLLC
Active
Organization
ADVANCE CARE MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS REYES-PESCADOR MD (MEDICAL DIRECTOR)
(956) 271-8992
Entity
Organization
Contact information
Practice address
801 TRAVIS ST STE 2101, HOUSTON, TX 77002-5730
(956) 271-8993
(469) 621-2209
Mailing address
801 TRAVIS ST STE 2101, HOUSTON, TX 77002-5730
(956) 271-8993
(469) 621-2209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
NULL
225XG0600X
Gerontology Occupational Therapist
—
—
2278G1100X
General Care Certified Respiratory Therapist
—
NULL
2278G1100X
General Care Certified Respiratory Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/25/2023
Last updated
04/11/2024
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