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FULL LIFE PRIMARY CARE PLLC NPI 1427775451


NPI Information

NPI: 1427775451
Provider Name: FULL LIFE PRIMARY CARE PLLC

Doing Business As: FULL LIFE PRIMARY CARE

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 45D2277489

Address:
600 E TAYLOR ST STE 201
SHERMAN, TX
ZIP 75090
Phone: (903) 257-3929
Get Directions

FULL LIFE PRIMARY CARE PLLC is an adult medicine family medicine in Sherman, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. FULL LIFE PRIMARY CARE PLLC NPI is 1427775451. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Full Life Primary Care.

The provider's business location address is:

600 E TAYLOR ST STE 201
SHERMAN, TX
ZIP 75090-832
Phone: (903) 257-3929
Fax: (903) 827-4015

The provider's authorized official is Sheelu Mathews .
The authorized official title is Manager and has the following contact phone number (973) 207-4589.

The CLIA number assigned to this NPI record is 45D2277489 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2022 and was last updated on 12/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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