Organization
PRO-CARE SPINE CENTER, PLLC
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
2400 VETERANS BLVD, # 25, DEL RIO, TX 78840-3181
(512) 371-7478
Mailing address
1015 W 39TH 1/2 ST, AUSTIN, TX 78756-4005
(512) 371-7478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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