Aic Primary Care, PLLC
Organization Active NPI Primary Care Clinic/Center · Lamarque, TX
NPI 1326324567 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1326324567
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- M4126 (TX)
- Legal business name
- AIC PRIMARY CARE, PLLC
- Practice address
- 2600 FM 1764
Suite 190
Lamarque, TX 77568 - Phone
- (281) 886-8964
- Fax
- (409) 440-8071
- NPI assigned
- Nov 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Megan Eacho Jefferson
- Title
- Credentialing Contact
- Phone
- (281) 886-8964
Practitioners 22
-
Barbara Ester Calloway, MSN, APRN, FNP-C
-
Melissa Chin, FNP-C
-
Catelyn Rose Knowlton, FNP-C
-
Heather Mansker, FNP-C
-
Ashley Nicole Moore, RN, FNP-C
-
Shawn Brook Schoppe, FNP-C
-
Hollie J. Smith, FNP-C
-
Regina Marie Washington, FNP- BC
-
Ericca Yowell, FNP
-
Whitney Gibbs, FNP
-
Tonya Renee Poore, FNP-BC
-
William O. Lee, M.D.
-
Elizabeth Ann Newkirk, P.A.
-
Debreka Reed, FNP
-
Paul K Reilley Sr., PAC
-
Jill Sarah Rowland, PA-C
-
Chaim L Sigler, PA-C
-
Nicole Lasha Williams, FNP/ PMHNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | M4126 | TX | Yes |
Addresses
Primary practice location
2600 FM 1764
Suite 190
Lamarque, TX 77568
Mailing address
2600 FM 1764
Suite 190
Lamarque, TX 77568
Phone (281) 886-8964
Other names
- Affinity Immediate Care, LLC
Other providers in Lamarque, TX
All providers in Lamarque, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.