MEDICARE: PROCARE INTERNAL MEDICINE ASSOCIATES, 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1649445032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCARE INTERNAL MEDICINE ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	10823 TOWN CENTER DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4585
Country	:	US
Telephone Number	:	210-509-7462
Fax Number	:	210-509-7464

Provider Business Practice Location Address
First Line	:	10823 TOWN CENTER DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4585
Country	:	US
Telephone Number	:	210-509-7462
Fax Number	:	210-509-7464

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AKHTAR HUSSAIN
Credential	:	MD
Telephone Number	:	210-509-7462

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	10/10/2024

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