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PHYSICIANS CENTER PA NPI 1841265915


NPI Information

NPI: 1841265915
Provider Name: PHYSICIANS CENTER PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 869-7310
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PHYSICIANS CENTER PA is a family medicine in Georgetown, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIANS CENTER PA NPI is 1841265915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628-401
Phone: (512) 869-7310
Fax: (512) 869-5616

The provider's authorized official is Richard C Male .
The authorized official title is Owner and has the following contact phone number (512) 869-7310.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 9/22/2010.


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
1207Q00000XFamily MedicineH8460TEXASNo
2363AM0700XPhysician AssistantMedicalPA01421TEXASNo
3207Q00000XFamily MedicinePA01580TEXASNo
4363A00000XPhysician AssistantPA04980TEXASNo
5207Q00000XFamily MedicineH8229TEXASYes

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
1E93584MEDICARE UPINTEXAS
2E57360MEDICARE UPINTEXAS
35287700001MEDICARE NSCTEXAS
4R74827MEDICARE UPINTEXAS
58B8345MEDICARE UPINTEXAS
689M682MEDICARE ID-TYPE UNSPECIFIEDTEXASRICHARD C MALE JR DO

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

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