Centerwell Senior Primary Care (tx) PA

NPI #1518689769 in Garland, Texas

Provider Information

NPI Number: 1518689769
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: Sep 14, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 1205 NORTHWEST HWY
City: Garland
State: Texas
ZIP Code: 75041-5835
Phone: (469) 936-0541

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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