Organization Active NPI

My Primary Care LLC

  • Family Medicine Physician
  • San Marcos, TX
National Provider Identifier
1063930659
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY PRIMARY CARE LLC
Doing business as
My Primary Care Clinic
Practice address
1346 Thorpe LN
San Marcos, TX 78666-7162
Phone
(512) 392-7800
NPI assigned
Sep 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Casandra Harrington
Title
Business Administrator
Phone
(512) 392-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1346 Thorpe LN
San Marcos, TX 78666-7162

Mailing address

2810 S Ih 35
San Marcos, TX 78666-5929
Phone (512) 392-7800

Other names 1

  • My Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

135 Bunton Creek Rd
Ste 100
Kyle, TX 78640
Phone (512) 268-2068

1346 Thorpe Ln
San Marcos, TX 78666
Phone (512) 353-5053

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1063930659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S IH 35",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665929",
            "telephone_number": "512-392-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 THORPE LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667162",
            "telephone_number": "512-392-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-02",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "512-392-7800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.