Primecare Medical Group, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

K4677 Issued in TX

Legal business name

PRIMECARE MEDICAL GROUP, PLLC

Practice address

929 Gessner Rd
Ste 2450
Houston, TX 77024-2515

Phone

(713) 464-9939

Fax

(713) 464-9942

NPI assigned

Aug 18, 2008

Last updated

Feb 11, 2015By 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

Laura Shilts

Title

Practice Administrator

Phone

(713) 464-9939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1902052251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER",
            "address_2": "STE 2450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "713-464-9939",
            "fax_number": "713-464-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "address_2": "STE 2450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242515",
            "telephone_number": "713-464-9939",
            "fax_number": "713-464-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SHILTS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "713-464-9939"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Value Home Care LLC
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• Primecare Castle LLC (Brighthaven and SecureTech Solutions)
• Primecare Medical Center PLLC
• Primecare Medical Equipment LLC
• Primecare Medical Transport LLC
• Primecare Pharmacy (Parasnath, Inc)
• Primecare Private Homecare Inc
• Primecare Supplies LLC
• Primed Medical Supply Inc

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.