Primary and Palliative Healthcare of East Texas,PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PRIMARY AND PALLIATIVE HEALTHCARE OF EAST TEXAS,PLLC

Practice address

8901 E F Lowry Expwy
Ste. a
Texas City, TX 77591

Phone

(409) 933-1003

Fax

(409) 935-0542

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Luis Angel Betancourt, MD

Title

Owner

Phone

(409) 933-1003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1205552452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 E F LOWRY EXPWY",
            "address_2": "STE A",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-933-1003",
            "fax_number": "409-935-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 E F LOWRY EXPWY",
            "address_2": "STE. A",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-933-1003",
            "fax_number": "409-935-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND PALLIATIVE HEALTHCARE OF EAST TEXAS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-933-1003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Primary and Palliative Health Care of Texas, PLLC
• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA
• Jennifer Lynn Price, LPC-INTERN
• Primary & Palliative Home Care, PLLC
• Primary, Preventative & Palliative Care Specialists
• Joseph Edward Prince, M.D.
• Rebecca Anne Prolic
• Quest Diagnostics Clinical Laboratories Inc
• Benny G Raimer, MD

• Geriatric Medicine (Internal Medicine) Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.