Organization · NPI-2
Advance Care Medical Group, PLLC
Family Medicine, Adult Medicine · Houston, TX
NPI number1205528288
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1205528288
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Care Medical Group, PLLC
- Organization subpart
- No
- Enumeration date
- May 25, 2023
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 163WG0000X | Registered Nurse, General Practice | – | – | |
| 163WW0000X | Registered Nurse, Wound Care | – | – | |
| 208600000X | Surgery | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225XG0600X | Occupational Therapist, Gerontology | – | – | |
| 2278G1100X | Respiratory Therapist, Certified, General Care | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
801 Travis St Ste 2101Houston, TX 77002-5730
Phone 956-271-8993 · Fax 469-621-2209
Mailing address
801 Travis St Ste 2101Houston, TX 77002-5730
Phone 956-271-8993 · Fax 469-621-2209
Authorized official
Carlos Reyes-Pescador
Medical Director
9562718992
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