Life Care Primary Medical Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC

Practice address

7103 S Peek Rd Ste 520
Richmond, TX 77407-3498

Phone

(281) 712-7757

Fax

(281) 712-7758

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samira Khan, MDNPI 1508247842

Title

Director

Phone

(832) 209-0611

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samira Khan, M.D.

  • Internal Medicine Physician
  • Richmond, TX
  • NPI 1508247842
  Medicare reassignment Care Compare group NPD Authorized official
• Tanveer Khan, PA-C

  • Medical Physician Assistant
  • Sugar Land, TX
  • NPI 1932509627
  Medicare reassignment Care Compare group NPD
• Salman Rasheed Mallick, M.D

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1578892113

  TX

  Medicare reassignment Care Compare group
• Saji Joseph, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Pearland, TX
  • NPI 1215600325
  Medicare reassignment NPD
• Humaira Farukh, PA-C

  • Physician Assistant
  • Richmond, TX
  • NPI 1306460316
  Medicare reassignment

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1295217990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11569 S HIGHWAY 6",
            "address_2": "PMB # 209",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984932",
            "telephone_number": "281-712-7757",
            "fax_number": "281-712-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 S PEEK RD STE 520",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073498",
            "telephone_number": "281-712-7757",
            "fax_number": "281-712-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE PRIMARY MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-209-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6215",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394557805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.

Verify at the official NPI Registry.