MEDICARE: PROCARE BEHAVIORAL AND MENTAL HEALTHCARE 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1568179158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCARE BEHAVIORAL AND MENTAL HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	539 W COMMERCE ST STE 4518
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1953
Country	:	US
Telephone Number	:	832-566-7028
Fax Number	:

Provider Business Practice Location Address
First Line	:	539 W COMMERCE ST STE 4518
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208
Country	:	US
Telephone Number	:	832-566-7028
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DEBBIE EZINWANYI WEZE
Credential	:	CNP
Telephone Number	:	713-885-5281

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	05/26/2025

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