Primary Care Service Evolution LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE SERVICE EVOLUTION LLC

Practice address

12680 W Lake Houston Pkwy
510
Houston, TX 77044

Phone

(866) 438-3883

NPI assigned

Oct 12, 2020

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Travis

Title

Ceo

Phone

(832) 419-4816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1215535414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 WOODED ACRES DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962991",
            "telephone_number": "832-419-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 W LAKE HOUSTON PKWY",
            "address_2": "510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77044",
            "telephone_number": "866-438-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SERVICE EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-419-4816"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Group LLC
• Primary Care Associates
• Primary Care Consultants PA
• Primary Care of Houston PLLC
• Primary Care Pharmacy LLC
• Primary Care Transportation Inc
• Primary Health & Wellness Center, LLC
• Primary Health Network of South Texas (Dorothy R. Lamping MD)
• Primary Health Network of South Texas (Adeeba Akhtar, MD)
• Primary Health Network of South Texas

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.