Primer Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J1640 Issued in TX

Legal business name

PRIMER FAMILY CLINIC

Practice address

7715 Stuebner Airline Rd
Suite D
Houston, TX 77088-6367

Phone

(281) 447-4600

Fax

(281) 447-4601

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Diane Goodman, M.D.

Title

Medical Director

Phone

(281) 447-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1689910382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 STUEBNER AIRLINE RD",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886367",
            "telephone_number": "281-447-4600",
            "fax_number": "281-447-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 STUEBNER AIRLINE RD",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886367",
            "telephone_number": "281-447-4600",
            "fax_number": "281-447-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMER FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-447-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primecare Private Homecare Inc
• Primecare Supplies LLC
• Primed Medical Supply Inc
• Primed Pharmacy LLC
• Primepath Medical Supplies LLC
• Primerose Home Health Services Inc
• Primescope Diagnostics, LLC
• Primeserve Medimove
• Primesource Infusion Management, LLC
• Primesource RX LLC

• Family Medicine Physician in Houston, TX
• Providers in Houston, 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 Dec 27, 2012; 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.