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NPI Code Detail

MEDICARE: PROCARE EMERGENCY PHYSICIANS NACOGDOCHES PLLC

MEDICARE: PROCARE EMERGENCY PHYSICIANS NACOGDOCHES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1861185928
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCARE EMERGENCY PHYSICIANS NACOGDOCHES PLLC
Provider Business Mailing Address
First Line : 2703 TELECOM PKWY STE 140A
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-3507
Country : US
Telephone Number : 325-277-2460
Fax Number :
Provider Business Practice Location Address
First Line : 1420 NORTH ST
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75961-4037
Country : US
Telephone Number : 936-245-8122
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. MONICA RAMIREZ
Credential :
Telephone Number : 325-277-2460
Provider Enumeration Date : 06/02/2023
Last Update Date : 01/19/2026

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