Organization Active NPI

Procare Healing Centers, LLP

  • Sleep Disorder Diagnostic Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1053526624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PROCARE HEALING CENTERS, LLP
Practice address
2519 S. Lakeline Boulevard
Unit 101
Cedar Park, TX 78613
Phone
(512) 249-9498
Fax
(512) 608-9268
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gail Sue Devilliers, R.N.
Title
Ceo
Phone
(405) 608-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X TX Primary

Addresses

Primary practice location

2519 S. Lakeline Boulevard
Unit 101
Cedar Park, TX 78613

Mailing address

6307 Waterford Blvd
Suite 210
Oklahoma City, OK 73118-1125
Phone (405) 608-0350

National Provider Directory

National Provider Directory

Locations

2250 E Continental Blvd
Ste 100
Southlake, TX 76092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053526624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 WATERFORD BLVD",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181125",
            "telephone_number": "405-608-0350",
            "fax_number": "405-608-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S. LAKELINE BOULEVARD",
            "address_2": "UNIT 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-249-9498",
            "fax_number": "512-608-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HEALING CENTERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVILLIERS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-608-0350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.