# ADVANCE CARE MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205528288
- **Authorized official:** CARLOS REYES-PESCADOR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (956) 271-8992

## Contact information

- **Practice address:** 801 TRAVIS ST STE 2101, HOUSTON, TX 77002-5730
- **Practice address phone:** (956) 271-8993
- **Practice address fax:** (469) 621-2209
- **Mailing address:** 801 TRAVIS ST STE 2101, HOUSTON, TX 77002-5730
- **Mailing address phone:** (956) 271-8993
- **Mailing address fax:** (469) 621-2209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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