Provider Demographics
NPI:1912540022
Name:PROCARE BIOMEDICAL REPAIR LLC
Entity Type:Organization
Organization Name:PROCARE BIOMEDICAL REPAIR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CSABA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-314-9553
Mailing Address - Street 1:18703 CLAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7737
Mailing Address - Country:US
Mailing Address - Phone:281-375-9845
Mailing Address - Fax:
Practice Address - Street 1:18703 CLAY RD STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7737
Practice Address - Country:US
Practice Address - Phone:281-375-9845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology SupplierGroup - Single Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment