# PRO-CARE SPINE CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro-Care Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730639618
- **Authorized official:** GARLAND BRENT BOECKING (CEO)
- **Authorized official phone:** (512) 371-7478

## Contact information

- **Practice address:** 701 E WHITESTONE BLVD, STE 100, CEDAR PARK, TX 78613-6944
- **Practice address phone:** (512) 371-7478
- **Practice address fax:** (512) 371-3861
- **Mailing address:** 1015 W 39TH 1/2 ST, AUSTIN, TX 78756-4005
- **Mailing address phone:** (512) 371-7478
- **Mailing address fax:** (512) 371-3861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 9693 | TX | — |
| 208D00000X | General Practice Physician | F9289 | TX | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/04/2016