Active NPI
Primary Care of Texas PLLC
- Family Nurse Practitioner
- New Braunfels, TX
National Provider Identifier
1619698651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMARY CARE OF TEXAS PLLC
- Practice address
- 1712 Chardonnay
New Braunfels, TX 78132-1885 - Phone
- (210) 473-7815
- Fax
- (833) 464-2984
- NPI assigned
- Sep 8, 2022
- Last updated
- Apr 18, 2023
- 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
- Mr. Michael Aguilar Davila, FNP-C
- Title
- President and Provider
- Phone
- (210) 473-7815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1712 Chardonnay
New Braunfels, TX 78132-1885
Mailing address
1712 Chardonnay
New Braunfels, TX 78132-1885
Phone (210) 473-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
831 Landa St
Ste A
New Braunfels, TX 78130
Interoperability endpoints
- https://api.platform.athenahealth.com/27217/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- New Braunfels, TX
- NPI 1891037123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1619698651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 CHARDONNAY",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781321885",
"telephone_number": "210-473-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 CHARDONNAY",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781321885",
"telephone_number": "210-473-7815",
"fax_number": "833-464-2984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE OF TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "DAVILA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "AGUILAR",
"authorized_official_title_or_position": "PRESIDENT AND PROVIDER",
"authorized_official_telephone_number": "210-473-7815",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
- Ana Alicia Amoricity Potthast, DSW, LCSW, LCDC
- Casey Noel Powers, LMFT LPC
- Marilyn J. Pozero, FNP
- Prescotts Limbs & Braces, Inc. (Prescotts Orthotics and Prosthetics)
- Margaret Price
- Jana Leigh Proff
- Prompt Neuropsych Solutions, PLLC
- Miranda Sterling Pryor, SLP-ASSTIANT
- Karla Marina Puentes, FNP
- Andres Felipe Pulgarin Cano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.