Provider Type Icon

LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC NPI 1295217990


NPI Information

NPI: 1295217990
Provider Name: LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D2197322

Address:
7103 S PEEK RD STE 520
RICHMOND, TX
ZIP 77407
Phone: (281) 712-7757
Get Directions

LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC is an internal medicine in Richmond, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC NPI is 1295217990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7103 S PEEK RD STE 520
RICHMOND, TX
ZIP 77407-498
Phone: (281) 712-7757
Fax: (281) 712-7758

The provider's authorized official is Samira Khan .
The authorized official title is Director and has the following contact phone number (832) 209-0611.

The CLIA number assigned to this NPI record is 45D2197322 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207R00000XInternal MedicineR6215TEXASNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4363A00000XPhysician AssistantNo
5207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1394557805MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.