PRIMECARE MEDICAL GROUP PLLC NPI 1902052251

NPI Information

PRIMECARE MEDICAL GROUP, PLLC is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRIMECARE MEDICAL GROUP, PLLC NPI is 1902052251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

929 GESSNER RD
STE 2450
HOUSTON, TX
ZIP 77024-515
Phone: (713) 464-9939
Fax: (713) 464-9942

The provider's authorized official is Laura Shilts .
The authorized official title is Practice Administrator and has the following contact phone number (713) 464-9939.

The CLIA number assigned to this NPI record is 45D2065487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 2/11/2015.

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:

Other Identifiers

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