| Center For Primary Care Specialists, P.a. | |
|
622 Highway 3 La Marque TX 77568-5936 | |
| (409) 933-0733 | |
| (409) 933-9777 |
| Full Name | Center For Primary Care Specialists, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 622 Highway 3, La Marque, Texas |
| Authorized Official Name and Position | Carol Hulett (BILLING AND CREDENTIALING) |
| Authorized Official Contact | 4099330733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Primary Care Specialists, P.a. Po Box 1263 Dickinson TX 77539-1263 Ph: (409) 933-0733 | Center For Primary Care Specialists, P.a. 622 Highway 3 La Marque TX 77568-5936 Ph: (409) 933-0733 |
| NPI Number | 1861426033 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861426033 | NPI | - | NPPES |
| 0053KD | Other | TX | BLUE CROSS BLUE SHIELD |
| DA0825 | Other | TX | MEDICARE RAILROAD |
| 080803201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D2636 (Texas) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | D2636 (Texas) | Secondary |
| 213E00000X | Podiatrist | 1443 (Texas) | Secondary |
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