Centerwell Senior Primary Care Tx PA
NPI #1396441481 in Richardson, Texas
Provider Information
- NPI Number
- 1396441481
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Tx PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE TX PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 1, 2023
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- 1332 S PLANO RD STE 550
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-5956
- Phone
- (972) 619-3988
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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