Provider Demographics
NPI:1750607552
Name:PROCARE CHIROPRACTIC & SPORTS THERAPY, PLLC.
Entity type:Organization
Organization Name:PROCARE CHIROPRACTIC & SPORTS THERAPY, PLLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:RAGAN
Authorized Official - Last Name:GINGELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-550-7500
Mailing Address - Street 1:13529 SKINNER RD STE F
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1775
Mailing Address - Country:US
Mailing Address - Phone:281-550-7500
Mailing Address - Fax:281-550-7988
Practice Address - Street 1:13529 SKINNER RD STE F
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1775
Practice Address - Country:US
Practice Address - Phone:281-550-7500
Practice Address - Fax:281-550-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF008814261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service