| Primecare Family Medicine And Wellness Center Llc | |
|
4422 S Mccoll Rd Edinburg TX 78539-9608 | |
| (908) 251-3017 | |
| Not Available |
| Full Name | Primecare Family Medicine And Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4422 S Mccoll Rd, Edinburg, Texas |
| Authorized Official Name and Position | Paul Elangwe (PRESIDENT) |
| Authorized Official Contact | 9082513017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Family Medicine And Wellness Center Llc 4422 S Mccoll Rd Edinburg TX 78539-9608 Ph: (908) 251-3017 | Primecare Family Medicine And Wellness Center Llc 4422 S Mccoll Rd Edinburg TX 78539-9608 Ph: (908) 251-3017 |
| NPI Number | 1043902307 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 4183070105 |
|---|---|
| Medicare Enrollment ID | O20231027001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043902307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul Nangoh Elangwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700225893 PECOS PAC ID: 1951696046 Enrollment ID: I20190916001646 |
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