| Houston Primary Care, Inc. | |
|
1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 | |
| (478) 328-0806 | |
| (478) 328-1393 |
| Full Name | Houston Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1719 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Dinakara B Shetty (OWNER) |
| Authorized Official Contact | 4783280806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Primary Care, Inc. 1719 Russell Pkwy Ste 700 Warner Robins GA 31088-5765 Ph: (478) 328-8984 | Houston Primary Care, Inc. 1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 Ph: (478) 328-0806 |
| NPI Number | 1568473767 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568473767 | NPI | - | NPPES |
| 000720948L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042431 (Georgia) | Primary |
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