OrganizationTheracare P.C.Speech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4504 Lilac Lane, Suite 1, Victoria, TX 77901-2625(361) 550-4744PECOS EnrollmentBased on the most recent information from CMS, provider Theracare P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265736029Provider TypeOrganizationFull NameTheracare P.C.SubpartNoEnumeration Date1/7/2011Last Updated1/7/2011Contact InformationPractice LocationPractice Address4504 Lilac Lane, Suite 1, Victoria, TX 77901-2625Phone(361) 550-4744Fax(361) 582-4114Mailing LocationMailing Address4504 Lilac Lane, Suite 1, Victoria, TX 77901-2625Phone(361) 550-4744Fax(361) 582-4114Authorized OfficialNameBrennan, Bonni Proctor (President/Admin)Phone(361) 550-0088Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer