Provider Demographics
NPI:1891935318
Name:PROCARE THERAPIES PC
Entity Type:Organization
Organization Name:PROCARE THERAPIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-783-5455
Mailing Address - Street 1:515 W BUSINESS HWY 83
Mailing Address - Street 2:# A
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-2526
Mailing Address - Country:US
Mailing Address - Phone:956-783-5455
Mailing Address - Fax:
Practice Address - Street 1:515 W BUSINESS HWY 83
Practice Address - Street 2:# A
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2526
Practice Address - Country:US
Practice Address - Phone:956-783-5455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation