Healthcare Provider Details

I. General information

NPI: 1508009374
Provider Name (Legal Business Name): EXPERT CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PALO ALTO RD STE 465
SAN ANTONIO TX
78211-3794
US

IV. Provider business mailing address

102 PALO ALTO RD STE 465
SAN ANTONIO TX
78211-3794
US

V. Phone/Fax

Practice location:
  • Phone: 210-921-2111
  • Fax: 210-921-2444
Mailing address:
  • Phone: 210-921-2111
  • Fax: 210-921-2444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1046449
License Number StateTX

VIII. Authorized Official

Name: MR. JOSE G VARGAS
Title or Position: MANAGING MEMBER
Credential:
Phone: 956-584-9442