Provider Demographics
NPI:1730437138
Name:PROCARE THERAPIES PC II
Entity type:Organization
Organization Name:PROCARE THERAPIES PC II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:956-783-5455
Mailing Address - Street 1:515 E BUSINESS HWY 83 STE A
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-2526
Mailing Address - Country:US
Mailing Address - Phone:956-783-5455
Mailing Address - Fax:956-783-1787
Practice Address - Street 1:515 E BUSINESS HWY 83 STE A
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2526
Practice Address - Country:US
Practice Address - Phone:956-783-5455
Practice Address - Fax:956-783-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty