Promedical Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

513568 Issued in TX

Legal business name

PROMEDICAL CARE PLLC

Practice address

2605 Chesapeake Dr
Garland, TX 75043-0901

Phone

(214) 714-0117

Fax

(469) 298-3335

NPI assigned

May 9, 2014

Last updated

Apr 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timonet Abuloc, NPNPI 1548427156

Title

President

Phone

(214) 714-0117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timonet B Abuloc, NP

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1548427156
  Medicare reassignment Authorized official
• Romulo Manuel Banaag Jr.

  • Nurse Practitioner
  • Richardson, TX
  • NPI 1952879280
  NPD (past)
• Herman Jorge Splatt Jr., PAC

  • Physician Assistant
  • Sunnyvale, TX
  • NPI 1972524387
  NPD (past)

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1467863688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CHESAPEAKE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750430901",
            "telephone_number": "214-714-0117",
            "fax_number": "469-298-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CHESAPEAKE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750430901",
            "telephone_number": "214-714-0117",
            "fax_number": "469-298-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "ABULOC",
        "authorized_official_first_name": "TIMONET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-714-0117",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "513568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.