Primary MD PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PRIMARY MD PLLC

Practice address

2755 W 15TH St
Plano, TX 75075-7525

Phone

(469) 642-4345

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Alexander M Tanjuakio

Title

Owner

Phone

(469) 642-4345

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David T Hanks, PH.D.

  • Clinical Psychologist
  • Richardson, TX
  • NPI 1780789776
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1821692518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 LANSDOWNE LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898388",
            "telephone_number": "469-642-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757525",
            "telephone_number": "469-642-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "TANJUAKIO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-642-4345"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Price, MA, OTR/L
• Nathan Priddy, M.D.
• Prim Palliative & Hospice Care Inc
• Primamed Physicians PLLC
• Primary Eye Care
• Prime Diagnostic Imaging of Plano LLC
• Prime Foot & Ankle Care, PLLC
• Prime Heart and Vascular, PLLC
• Prime Heart and Vascular, PLLC
• Prime Life Chiropractic

• Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.