Provider Demographics
NPI:1699832303
Name:PROCARE THERAPIES PC
Entity type:Organization
Organization Name:PROCARE THERAPIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-783-5455
Mailing Address - Street 1:515 E. BUSINESS HWY 83
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516
Mailing Address - Country:US
Mailing Address - Phone:956-783-5455
Mailing Address - Fax:956-781-1787
Practice Address - Street 1:515 E. BUSINESS HWY. 83
Practice Address - Street 2:SUITE A
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516
Practice Address - Country:US
Practice Address - Phone:956-783-5455
Practice Address - Fax:956-781-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168517401Medicaid
TX676578Medicare Oscar/Certification