Primary Physician Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14594 Issued in LA

Legal business name

PRIMARY PHYSICIAN CARE, LLC

Practice address

631 S Ryan St
Lake Charles, LA 70601-5726

Phone

(337) 439-2020

Fax

(337) 439-2076

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Carl Nabours, MD

Title

Owner

Phone

(337) 439-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1336280478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015726",
            "telephone_number": "337-439-2020",
            "fax_number": "337-439-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015726",
            "telephone_number": "337-439-2020",
            "fax_number": "337-439-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PHYSICIAN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NABOURS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-439-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315966",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Everett Price, D.D.S.
• Jere K Price Jr., MD
• Joshua Ryan Price, DPT
• Terri Price, LPC
• Thomas Henderson Price, D.D.S.
• Primary Rehabilitation Services, Inc.
• Erin Primeaux, M.A., LPC
• Lindsey Nicole Primeaux, OD
• Thad Michael Primeaux, MD
• Raymond E Prince Jr., DPT

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.