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CENTERWELL SENIOR PRIMARY CARE (TX) PA NPI 1326691361


NPI Information

NPI: 1326691361
Provider Name: CENTERWELL SENIOR PRIMARY CARE (TX) PA

Former Legal Business Name: PARTNERS IN PRIMARY CARE (KS), PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2173159

Address:
6515 GARTH RD STE 150
BAYTOWN, TX
ZIP 77521
Phone: (833) 997-0935
Get Directions

CENTERWELL SENIOR PRIMARY CARE (TX) PA is a family medicine in Baytown, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTERWELL SENIOR PRIMARY CARE (TX) PA NPI is 1326691361. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Partners In Primary Care (ks), Pa.

The provider's business location address is:

6515 GARTH RD STE 150
BAYTOWN, TX
ZIP 77521-627
Phone: (833) 997-0935
Fax: (833) 997-0936

The provider's authorized official is Angie Martinez .
The authorized official title is Senior Credentialing Professional and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 45D2173159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 10/18/2022.


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
2208D00000XGeneral PracticeNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14082463-01MEDICAIDTEXAS

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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