Provider Demographics
NPI:1780958702
Name:PATIENT CARE ASSOCIATES
Entity type:Organization
Organization Name:PATIENT CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:STEANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-597-7137
Mailing Address - Street 1:3800 NORTH MESA, SUITE A-2 318
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:540-597-7137
Mailing Address - Fax:800-683-0521
Practice Address - Street 1:3800 NORTH MESA, SUITE A-2 318
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:540-597-7137
Practice Address - Fax:800-683-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101241702208M00000X
TXM59382080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty