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NPI Code Detail

MEDICARE: PRIMARY HEALTH NETWORK OF SOUTH TEXAS

MEDICARE: PRIMARY HEALTH NETWORK OF SOUTH TEXAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1124141700
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY HEALTH NETWORK OF SOUTH TEXAS
Provider Business Mailing Address
First Line : 2600 GESSNER DR
Second Line : SUITE 250
City : HOUSTON
State : TX
Zip : 77080-3839
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GESSNER DR
Second Line : SUITE 250
City : HOUSTON
State : TX
Zip : 77080-3839
Country : US
Telephone Number : 713-462-4382
Fax Number : 713-462-4777
Authorized Official
Title or Position : VP
Name : TODD EVANS
Credential :
Telephone Number : 713-462-4382
Provider Enumeration Date : 04/09/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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Directions to “PRIMARY HEALTH NETWORK OF SOUTH TEXAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.