Centro Medico Doctor Primario LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRO MEDICO DOCTOR PRIMARIO LLC

Practice address

407 W Eldorado Pkwy Ste 100
Little Elm, TX 75068-5076

Phone

(469) 579-5233

Fax

(469) 579-5234

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Orestes Becerra

Title

Manager

Phone

(972) 333-9665

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1184321580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 TUMBLEWEED DR",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W ELDORADO PKWY STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685076",
            "telephone_number": "469-579-5233",
            "fax_number": "469-579-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DOCTOR PRIMARIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-333-9665"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Carr, RN
• Carrollton Family Clinic (CFC)
• Michael Carter
• Kelley Cauley, LPC
• Myrdell Celissaint
• Ramesh Chandran, M.D.
• Chris Chapman, AGACNP-BC
• Fredrick K Cheruiyot
• Bridget Malama Chibale I, LVN
• Hyun Seung Choi, DC

• Primary Care Clinic/Center in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.