Prime Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME MEDICAL GROUP LLC

Doing business as

Prime Medical Clinic

Practice address

13480 Veterans Memorial Dr Ste R1
Houston, TX 77014-1670

Phone

(281) 587-1600

Fax

(281) 587-1601

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By 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

Raquel Williams-Wheeler

Title

Billing Director

Phone

(713) 409-4430

Specialties & licenses 2

Addresses

Other names 1

• PRIME MEDICAL CLINIC Doing business as

Locations

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.

• Vu Anh Phung, MD

  • Family Medicine Physician
  • Magnolia, TX
  • NPI 1124290390
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1801510110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13480 VETERANS MEMORIAL DR STE R1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141670",
            "telephone_number": "281-587-1600",
            "fax_number": "281-587-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13480 VETERANS MEMORIAL DR STE R1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141670",
            "telephone_number": "281-587-1600",
            "fax_number": "281-587-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-WHEELER",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "713-409-4430"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Health Express Pharmaceutical Services LLC (Prime Express Pharmacy)
• Prime Healthcare Services - River Oaks, LLC (River Oaks Hospital)
• Prime Home Health Inc
• Prime Hospitalist Partners, LLC (Petitt Primary Care)
• Prime Med EMS Inc (Prime Med EMS)
• Prime Orthopedic PLLC
• Prime PHC Inc (Prime Pharmacy)
• Prime Physicians PA
• Prime Spine Chiropractic PLLC (HealthSource Chiropractic, Inc.)
• Prime Surgitech 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 Sep 29, 2022; 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.