Provider Demographics
NPI:1720256233
Name:MEDCARE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MEDCARE ASSOCIATES, P.A.
Other - Org Name:MEDCARE ASSOCIATES BOERNE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-816-5700
Mailing Address - Street 1:134 MENGER SPGS
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-7218
Mailing Address - Country:US
Mailing Address - Phone:830-816-5700
Mailing Address - Fax:830-816-5403
Practice Address - Street 1:134 MENGER SPGS
Practice Address - Street 2:SUITE 1100
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-7218
Practice Address - Country:US
Practice Address - Phone:830-816-5700
Practice Address - Fax:830-816-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC7121Medicare PIN
TX0055BYMedicare PIN