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Organization
PRO-CARE SPINE CENTER, LLC
Active
Organization
PRO-CARE SPINE CENTER, LLC
Active
Other names
Pro-Care Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT BOECKING (CEO)
(512) 371-7478
Entity
Organization
Contact information
Practice address
1015 W 39TH 1/2 ST, AUSTIN, TX 78756-4005
(512) 371-7478
(512) 371-3861
Mailing address
1015 W 39TH 1/2 ST, AUSTIN, TX 78756-4005
(512) 371-7478
(512) 371-3861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9693
TX
204R00000X
Electrodiagnostic Medicine Physician
—
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
TX
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
Primary
N1732
TX
208100000X
Physical Medicine & Rehabilitation Physician
—
TX
2083X0100X
Occupational Medicine Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
TX
208D00000X
General Practice Physician
F9289
TX
208VP0000X
Pain Medicine Physician
—
TX
Other
Enumeration date
10/25/2006
Last updated
09/21/2016
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