Aic Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L9314 Issued in TX

Legal business name

AIC PRIMARY CARE PLLC

Doing business as

Affinity Immediate Care-Galveston

Practice address

2808 61St St
Suite 200
Galveston, TX 77551

Phone

(281) 886-8964

Fax

(281) 605-1914

NPI assigned

May 24, 2013

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Jefferson

Title

HR Generalist / Credentialing

Phone

(281) 886-8964

Specialties & licenses 1

Addresses

Other names 1

• AFFINITY IMMEDIATE CARE-GALVESTON Doing business as

Tax ID family

Affinity Immediate Care-Galveston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aic Primary Care PLLC

  dba Affinity Immediate Care-Lamarque

  • Family Medicine Physician
  • La Marque, TX
  • NPI 1649616251
  NPD tax ID

Locations

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1649617085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 61ST ST",
            "address_2": "SUITE 200",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "281-886-8964",
            "fax_number": "281-605-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 61ST ST",
            "address_2": "SUITE 200",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "281-886-8964",
            "fax_number": "281-605-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "HR GENERALIST / CREDENTIALING",
        "authorized_official_telephone_number": "281-886-8964"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFINITY IMMEDIATE CARE-GALVESTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adeeb Ahmed
• Nadia Shahbaz Ahmed, MD
• Rija Tehsin Ahmed, DO
• Sahar Ahmed, MD
• Pranati Ahuja
• Aic Urgent Care, PLLC (Affinity Immediate Care-Galveston)
• AIDS Coalition of Costal Texas, Inc.
• Lemuel Ose Aigbivbalu, M.D.
• Michael A Ainsworth, MD
• Zahra Akhtar, MBBS, MD

• Family Medicine Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.