Organization
PRO-CARE SPINE CENTER, PLLC
Active
Other names
Pro-Care Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARLAND BRENT BOECKING (CEO)
(512) 371-7478
Entity
Organization
Contact information
Practice address
9727 POTEET JOURDANTON FWY, SUITE 101, SAN ANTONIO, TX 78211-4574
(210) 881-0630
(210) 641-1608
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
—
—
208D00000X
General Practice Physician
Primary
—
TX
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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