Active NPI
Primary & Palliative Home Care, PLLC
- Geriatric Medicine (Internal Medicine) Physician
- Texas City, TX
National Provider Identifier
1972067718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- PRIMARY & PALLIATIVE HOME CARE, PLLC
- Practice address
- 8901 Emmett Lowry Expwy Suite a
Texas City, TX 77591 - Phone
- (281) 559-1122
- Fax
- (281) 559-1188
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Maxwell
- Title
- MD
- Phone
- (409) 933-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
8901 Emmett Lowry Expwy Suite a
Texas City, TX 77591
Mailing address
8901 Emmett Lowry Expwy Suite a
Texas City, TX 77591
Phone (281) 559-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190408000805 | TX | Part B Supplier - Clinic/Group Practice | 0547501272 |
Receives reassigned benefits from 10 practitioners Practice locations: Texas City, TX |
National Provider Directory
National Provider DirectoryLocations
4903 Golden Quail
Ste 110
San Antonio, TX 78240
Phone (210) 734-6300
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1578278487
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673654400000",
"number": "1972067718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 EMMETT LOWRY EXPWY SUITE A",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "77591",
"telephone_number": "281-559-1122",
"fax_number": "281-559-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 EMMETT LOWRY EXPWY SUITE A",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "77591",
"telephone_number": "281-559-1122",
"fax_number": "281-559-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY & PALLIATIVE HOME CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2023-01-14",
"certification_date": "2023-01-14",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "409-933-1003"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
- Swayam Prakash, M.D.
- Premier Primary and Palliative Health Care of Texas, PLLC
- Premise Health of Texas Medical PA
- Premise Health of Texas Medical PA
- Jennifer Lynn Price, LPC-INTERN
- Primary and Palliative Healthcare of East Texas,PLLC
- Primary, Preventative & Palliative Care Specialists
- Joseph Edward Prince, M.D.
- Rebecca Anne Prolic
- Quest Diagnostics Clinical Laboratories Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.