Provider Demographics
NPI:1801589932
Name:PROCARE EMERGENCY PHYSICIANS WICHITA FALLS PLLC
Entity type:Organization
Organization Name:PROCARE EMERGENCY PHYSICIANS WICHITA FALLS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:PEARSALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-744-9435
Mailing Address - Street 1:1502 BROOKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1893
Mailing Address - Country:US
Mailing Address - Phone:281-744-9435
Mailing Address - Fax:
Practice Address - Street 1:4121 SOUTHWEST PKWY
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4301
Practice Address - Country:US
Practice Address - Phone:940-264-3766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty