Pro-care Spine Center, Llc is a
Internal Medicine based in Austin, Texas. Pro-care Spine Center, Llc is licensed to practice in Texas (license number N1732) and their current practice location is
1015 W 39th 1/2 St, Austin, Texas. It can be reached at their office (for appointments etc.) via phone at
(512) 371-7478.
NPI number for Pro-care Spine Center, Llc is 1396829222 and their current mailing address is 1015 W 39th 1/2 St, Austin, Texas. Pro-care Spine Center, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1396829222.
Healthcare Provider's Profile
| Full Name | Pro-care Spine Center, Llc |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 1015 W 39th 1/2 St, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396829222
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 09/21/2016
Medical Identifiers
Medical identifiers for Pro-care Spine Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396829222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 9693 (Texas) | Secondary |
| 204R00000X | Electrodiagnostic Medicine | (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (Texas) | Secondary |
| 207Q00000X | Family Medicine | (Texas) | Secondary |
| 207R00000X | Internal Medicine | N1732 (Texas) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (Texas) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (Texas) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (Texas) | Secondary |
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (Texas) | Secondary |
| 208D00000X | General Practice | F9289 (Texas) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro-care Spine Center, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pro-care Spine Center, Llc
1015 W 39th 1/2 St,
Austin, TX 78756-4005
Ph: (512) 371-7478 | Pro-care Spine Center, Llc
1015 W 39th 1/2 St,
Austin, TX 78756-4005
Ph: (512) 371-7478 |
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