MEDICARE: VERSACARE 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1477575363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERSACARE INC.

Provider Business Mailing Address
First Line	:	9696 SKILLMAN ST
Second Line	:	STE 285 LB 42
City	:	DALLAS
State	:	TX
Zip	:	75243-8264
Country	:	US
Telephone Number	:	214-341-7427
Fax Number	:	214-348-0129

Provider Business Practice Location Address
First Line	:	9696 SKILLMAN ST
Second Line	:	STE 285 LB 42
City	:	DALLAS
State	:	TX
Zip	:	75243-8264
Country	:	US
Telephone Number	:	214-341-7427
Fax Number	:	214-348-0129

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. WILLIAM ARTHUR CARTER
Credential	:	R.N.
Telephone Number	:	214-341-7427

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	09/11/2025

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Directions to “VERSACARE INC. ” Practice Location

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