Healthcare Provider Details
I. General information
NPI: 1972269496
Provider Name (Legal Business Name): CARE PRO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2021
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2215 S LEXINGTON DR APT 301
MOUNT PROSPECT IL
60056-5857
US
IV. Provider business mailing address
101 W RENNER RD STE 140
RICHARDSON TX
75082-2028
US
V. Phone/Fax
- Phone: 469-837-0890
- Fax:
- Phone: 469-837-0890
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ARSLAN
SOHAIL
Title or Position: OWNER
Credential:
Phone: 469-837-0890