PRO-CARE SPINE CENTER, LLC (NPI# 1457500035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457500035 |
| Entity Type | Organization |
| Organization Name | PRO-CARE SPINE CENTER, LLC |
| Other Organization Name | PRO-CARE MEDICAL CENTER |
| Practice Address |
9502 Huebner Rd Suite 102 San Antonio TX 78240-1548 |
| Mailing Address |
1015 W 39th 1/2 St Austin TX 78756-4005 |
| Practice Telephone | 5123717478 |
| Mailing Telephone | 5123717478 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | BRENT BOECKING (DIRECTOR OF MARKETING AND OPERATION) |
| Authorized Official Telephone | 5123717478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 9693 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 10883 | TX | Chiropractic Providers |
| N | 208D00000X | General Practice | F9289 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | N1732 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pro-Care Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396829222 | Pro-care Spine Center, LLC | Family Medicine | 1015 W 39th 1/2 St, Austin, TX 78756-4005 | 2006-10-25 |
| Street Address |
9502 HUEBNER RD SUITE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453621 | Nilesh Arvind Patel | Specialist | 9502 Huebner Rd, Suite 301, San Antonio, TX 78240-1548 | 2005-08-09 |
| 1699144881 | Pmpa Pllc | Physical Medicine & Rehabilitation | 9502 Huebner Rd, Suite 101, San Antonio, TX 78240-1649 | 2015-09-18 |
| 1952784597 | Keri Mcphail | Nurse Practitioner | 9502 Huebner Rd, Ste 301, San Antonio, TX 78240-1649 | 2015-07-01 |
| 1861883217 | Kristin O'toole | Physical Therapist | 9502 Huebner Rd, Bldg. 301, San Antonio, TX 78240-1649 | 2015-02-06 |
| 1467794438 | Alamo Family Foot Care, Pa | Podiatrist | 9502 Huebner Rd, Building 2, Suite 201, San Antonio, TX 78240-1649 | 2013-03-18 |
| 1497931083 | Foundation Weightwise Services, LLC | Psychologist | 9502 Huebner Rd, Ste 301, San Antonio, TX 78240-1548 | 2008-01-14 |
| 1891975298 | Michael M. Heckman Md Pa | Orthopaedic Surgery | 9502 Huebner Rd, Suite 301, San Antonio, TX 78240 | 2007-11-14 |
| 1952594855 | Heather E Nunley | Specialist/Technologist | 9502 Huebner Rd, Suite 301, San Antonio, TX 78240-1548 | 2007-08-23 |
| 1689873630 | Lauren Crawford | Dietitian, Registered | 9502 Huebner Rd, Suite 301, San Antonio, TX 78240-1548 | 2007-07-11 |
| 1982807186 | Bassem Mazloum Md, Pa | Internal Medicine | 9502 Huebner Rd, Ste 101, San Antonio, TX 78240-1548 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.