Provider Demographics
NPI:1649445032
Name:PROCARE INTERNAL MEDICINE ASSOCIATES, PLLC
Entity type:Organization
Organization Name:PROCARE INTERNAL MEDICINE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AKHTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-509-7462
Mailing Address - Street 1:10823 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4585
Mailing Address - Country:US
Mailing Address - Phone:210-509-7462
Mailing Address - Fax:210-509-7464
Practice Address - Street 1:10823 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4585
Practice Address - Country:US
Practice Address - Phone:210-509-7462
Practice Address - Fax:210-509-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty