MEDICARE: PRIMARY DOCTORS HOUSE CALLS, PA

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
1	207Q00000X	Family Medicine Physician	H7544	TX

General Provider Information

NPI Number	:	1184873499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY DOCTORS HOUSE CALLS, PA

Provider Business Mailing Address
First Line	:	2712 NORWOOD LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-1247
Country	:	US
Telephone Number	:	817-920-0678
Fax Number	:	817-920-0678

Provider Business Practice Location Address
First Line	:	2712 NORWOOD LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-1247
Country	:	US
Telephone Number	:	817-920-0678
Fax Number	:	817-920-0678

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY B CARTWRIGHT
Credential	:	M.D.
Telephone Number	:	817-920-0678

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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