Prosper Primary Care and Wellness PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROSPER PRIMARY CARE AND WELLNESS PC

Practice address

3740 W University Dr Ste 50
Prosper, TX 75078-9993

Phone

(469) 592-6599

NPI assigned

Dec 5, 2025

Organization subpart

No

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

Authorized official

Name

Suhaib Taie

Title

Senior Administrator

Phone

(469) 592-6599

Specialties & licenses 2

Addresses

Other names 1

• Prosper Health Primary, Urgent & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Prosper Health Primary Urgent Wellness2 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.

• Prosper Primary Care and Wellness PC

  • Urgent Care Clinic/Center
  • Prosper, TX
  • NPI 1063355071
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Iqbal, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1093276396
  Medicare reassignment NPD
• Dergham Zahir Alzubaidy, M.D.

  • Hospitalist Physician
  • Dallas, TX
  • NPI 1356636708
  Medicare reassignment
• Julie Anne Kuennen, APRN, FNP

  • Family Nurse Practitioner
  • Prosper, TX
  • NPI 1780151373
  Medicare reassignment
• Kristy Dawn Moore, FNP-C

  • Nurse Practitioner
  • Prosper, TX
  • NPI 1982624029
  Medicare reassignment

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1740143890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W UNIVERSITY DR STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789993",
            "telephone_number": "469-592-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W UNIVERSITY DR STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789993",
            "telephone_number": "469-592-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER PRIMARY CARE AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "TAIE",
        "authorized_official_first_name": "SUHAIB",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "469-592-6599"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Health Primary, Urgent & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prosper Family Psychiatry
• Prosper Isd
• Prosper Pediatrics PLLC
• Prosper Pharmacy LLC
• Prosper Primary Care and Wellness PC
• Prosper Smile Studio PLLC
• Prosper Smiles PLLC
• Prosper Star Dental Company PLLC
• Prosper Vision Associates, PLLC
• Prosper Vision PLLC

• Family Medicine Physician in Prosper, TX
• Providers in Prosper, 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 15, 2026; 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.

Verify at the official NPI Registry.