PRIMARY VISITING CLINICIANS PLLC NPI 1720468390

NPI Information

  • NPI: 1720468390
  • Provider Name: PRIMARY VISITING CLINICIANS PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: PVC FAMILY PRACTICE
  • CLIA Number: 45D2125162
  • Address: 3334 BROADWAY BLVD STE 422
    GARLAND, TX
    ZIP 75043
  • Phone: (972) 979-7408

Map and Directions

Get Directions

NPI Details

PRIMARY VISITING CLINICIANS PLLC is a family nurse practitioner in Garland, TX. PRIMARY VISITING CLINICIANS PLLC NPI is 1720468390. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pvc Family Practice.

The provider's business location address is:

3334 BROADWAY BLVD STE 422
GARLAND, TX
ZIP 75043-575
Phone: (972) 979-7408
Fax: (972) 587-6733

The provider's authorized official is Zainabu Koroma .
The authorized official title is Administrator and has the following contact phone number (972) 979-7408.

The CLIA number assigned to this NPI record is 45D2125162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 10/18/2021.

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
1207R00000XInternal MedicineL5507TEXASNo
2363LF0000XNurse PractitionerFamilyAP120628TEXASYes

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

NPI Synchronization or Removal

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.