NPIMap

Organization Active NPI

Aic Primary Care, PLLC

Doing business as Affinity Immediate Care, LLC

  • Primary Care Clinic/Center
  • La Marque, TX
National Provider Identifier
1326324567
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M4126 Issued in TX
Legal business name
AIC PRIMARY CARE, PLLC
Doing business as
Affinity Immediate Care, LLC
Practice address
2600 FM 1764
Suite 190
Lamarque, TX 77568
Phone
(281) 886-8964
Fax
(409) 440-8071
NPI assigned
Nov 2, 2011
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Megan Eacho Jefferson
Title
Credentialing Contact
Phone
(281) 886-8964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M4126 TX Primary

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 1

  • Affinity Immediate Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3128 S Highway 35
Alvin, TX 77511
Phone (281) 886-8964

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1326324567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FM 1764",
            "address_2": "SUITE 190",
            "city": "LAMARQUE",
            "state": "TX",
            "postal_code": "77568",
            "telephone_number": "281-886-8964",
            "fax_number": "409-440-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FM 1764",
            "address_2": "SUITE 190",
            "city": "LAMARQUE",
            "state": "TX",
            "postal_code": "77568",
            "telephone_number": "281-886-8964",
            "fax_number": "409-440-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "EACHO",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT",
        "authorized_official_telephone_number": "281-886-8964"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Immediate Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Marque, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.