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Organization
PROCARE WELLNESS, LLC
Active
Organization
PROCARE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTI KC NP (NURSE PRACTITIONER)
(210) 551-8830
Entity
Organization
Contact information
Practice address
8601 VILLAGE DR STE 100, SAN ANTONIO, TX 78217-5509
(210) 551-8830
Mailing address
PO BOX 691463, SAN ANTONIO, TX 78269-1463
(210) 551-8830
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
02/22/2025
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