Active NPI
Primary Care Medical Associates PLLC
- Family Medicine Physician
- Fair Oaks Ranch, TX
National Provider Identifier
1235988676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE MEDICAL ASSOCIATES PLLC
- Practice address
- 9091 Fair Oaks Pkwy Ste 301
Fair Oaks Ranch, TX 78015-4690 - Phone
- (210) 903-2002
- NPI assigned
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Porter
- Title
- Administrator
- Phone
- (830) 388-5672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9091 Fair Oaks Pkwy Ste 301
Fair Oaks Ranch, TX 78015-4690
Mailing address
9091 Fair Oaks Pkwy Ste 301
Fair Oaks Ranch, TX 78015-4690
Phone (210) 903-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9091 Fair Oaks Pkwy
Ste 301
Fair Oaks Ranch, TX 78015
Phone (210) 903-2002
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fair Oaks Ranch, TX
- NPI 1013918242
-
- Physician Assistant
- San Antonio, TX
- NPI 1497155386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1235988676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9091 FAIR OAKS PKWY STE 301",
"city": "FAIR OAKS RANCH",
"state": "TX",
"postal_code": "780154690",
"telephone_number": "210-903-2002",
"fax_number": "210-429-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9091 FAIR OAKS PKWY STE 301",
"city": "FAIR OAKS RANCH",
"state": "TX",
"postal_code": "780154690",
"telephone_number": "210-903-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-388-5672"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks Ranch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.