Pro-Care Spine Center, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PRO-CARE SPINE CENTER, PLLC

Doing business as

Pro-Care Medical Center

Practice address

2400 Veterans Blvd
# 25
Del Rio, TX 78840-3181

Phone

(512) 371-7478

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By 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

Mr. Brent Boecking

Title

Ceo

Phone

(512) 371-7478

Specialties & licenses 2

Addresses

Other names 1

• Pro-Care Medical Center Doing business as

Practitioners 1

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.

• Neil Odom Boecking, D.C.

  • Chiropractor
  • Austin, TX
  • NPI 1023198629
  NPD (past)

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1770858706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W 39TH 1/2 ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564005",
            "telephone_number": "512-371-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS BLVD",
            "address_2": "# 25",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403181",
            "telephone_number": "512-371-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "BOECKING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-371-7478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro-Care Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Performance Therapeutics - del Rio, PLLC
• Jeen Philip
• Tina Pilumeli Di Blasi, M.D.
• Ramiro F Pina Jr., EMT B
• Rebecca Powell-Slayton, LPC
• R P K Unlimited Inc (Kaiser Eye Care)
• Sarah Raichlin
• Lydia Olivia Ramos, LCSW
• Randall Sunderland (Matrix Rehabilitation Center)
• Cathy Ruth Readman

• Interventional Pain Medicine Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.