| Primary Care Clinics Us Pllc | |
|
6448 Broadway Blvd Garland TX 75043-5943 | |
| (425) 748-4999 | |
| (708) 312-4063 |
| Full Name | Primary Care Clinics Us Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6448 Broadway Blvd, Garland, Texas |
| Authorized Official Name and Position | Venkataraman Palabindala (OWNER) |
| Authorized Official Contact | 9725445214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Clinics Us Pllc 5750 Domer Dr Frisco TX 75035-0772 Ph: (708) 212-2631 | Primary Care Clinics Us Pllc 6448 Broadway Blvd Garland TX 75043-5943 Ph: (425) 748-4999 |
| NPI Number | 1679173314 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 5799198248 |
|---|---|
| Medicare Enrollment ID | O20201230002661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679173314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amaleswari Pamarthy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265745459 PECOS PAC ID: 5193975753 Enrollment ID: I20191115000804 |
| Provider Name | Venkataraman Palabindala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114158367 PECOS PAC ID: 3375791312 Enrollment ID: I20200602000382 |
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