S & J DIRECT PRIMARY CARE PLLC NPI 1194493536

NPI Information

  • NPI: 1194493536
  • Provider Name: S & J DIRECT PRIMARY CARE, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: DURHAM DIRECT PRIMARY CARE
  • CLIA Number: 45D2236731
  • Address: 5120 CONCHOS TRL
    ARLINGTON, TX
    ZIP 76017
  • Phone: (817) 966-8550

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NPI Details

S & J DIRECT PRIMARY CARE, PLLC is a primary care clinic center in Arlington, TX. S & J DIRECT PRIMARY CARE, PLLC NPI is 1194493536. The provider is registered as an organization entity type.
The provider Is Doing Business As Durham Direct Primary Care.

The provider's business location address is:

5120 CONCHOS TRL
ARLINGTON, TX
ZIP 76017-024
Phone: (817) 966-8550

The provider's authorized official is Shelley Erin Durham .
The authorized official title is President and has the following contact phone number (817) 966-8550.

The CLIA number assigned to this NPI record is 45D2236731 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 1/6/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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