| Primecare Health System | |
|
604 S Washington St Livingston TX 77351-2074 | |
| (936) 328-8944 | |
| (936) 328-8945 |
| Full Name | Primecare Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 604 S Washington St, Livingston, Texas |
| Authorized Official Name and Position | Louis Irvin Ambeaux (PHYSICIAN ASSISTANT SUPERVISOR) |
| Authorized Official Contact | 9363288944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Health System Po Box 2074 Livingston TX 77351-2074 Ph: (936) 328-8944 | Primecare Health System 604 S Washington St Livingston TX 77351-2074 Ph: (936) 328-8944 |
| NPI Number | 1699751180 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699751180 | NPI | - | NPPES |
| 00664R | Other | MC - GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA01279 (Texas) | Primary |
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