MEDICARE: VCARE HOUSECALL PRO INC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1134903255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VCARE HOUSECALL PRO INC

Provider Business Mailing Address
First Line	:	1818 E PIONEER PKWY STE 108
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-6600
Country	:	US
Telephone Number	:	817-682-3408
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 E PIONEER PKWY STE 108
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-6600
Country	:	US
Telephone Number	:	817-682-3408
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HECTOR CASTRO
Credential	:	MD
Telephone Number	:	512-738-2645

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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