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
701 E WHITESTONE BLVD, STE 100, CEDAR PARK, TX 78613-6944
(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
208D00000X
General Practice Physician
Primary
F9289
TX
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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