| Primary Care Of Texas Pllc | |
|
1712 Chardonnay New Braunfels TX 78132-1885 | |
| (210) 473-7815 | |
| (833) 464-2984 |
| Full Name | Primary Care Of Texas Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1712 Chardonnay, New Braunfels, Texas |
| Authorized Official Name and Position | Michael Aguilar Davila (PRESIDENT AND PROVIDER) |
| Authorized Official Contact | 2104737815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Texas Pllc 1712 Chardonnay New Braunfels TX 78132-1885 Ph: (210) 473-7815 | Primary Care Of Texas Pllc 1712 Chardonnay New Braunfels TX 78132-1885 Ph: (210) 473-7815 |
| NPI Number | 1619698651 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 5799155735 |
|---|---|
| Medicare Enrollment ID | O20230109000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619698651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Michael Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891037123 PECOS PAC ID: 9032359260 Enrollment ID: I20130823000643 |
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