| Procare Wellness, Llc | |
|
8330 Sierra Hermosa San Antonio TX 78255-3375 | |
| (210) 551-8830 | |
| Not Available |
| Full Name | Procare Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8330 Sierra Hermosa, San Antonio, Texas |
| Authorized Official Name and Position | Jyoti Kc (NURSE PRACTITIONER) |
| Authorized Official Contact | 2105518830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Wellness, Llc Po Box 691463 San Antonio TX 78269-1463 Ph: (210) 551-8830 | Procare Wellness, Llc 8330 Sierra Hermosa San Antonio TX 78255-3375 Ph: (210) 551-8830 |
| NPI Number | 1417588351 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 4880059773 |
|---|---|
| Medicare Enrollment ID | O20230427003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417588351 | NPI | - | NPPES |
| Provider Name | Jyoti Kc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972048361 PECOS PAC ID: 3971880782 Enrollment ID: I20170504000942 |
| Provider Name | Britton Bachor Clement |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821704743 PECOS PAC ID: 7113370925 Enrollment ID: I20240129001851 |
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