MEDICARE: TRUSTED PRIMARY CARE PLLC

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

General Provider Information

NPI Number	:	1366397143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	2240 MARKET PLACE BLVD STE 140
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-8098
Country	:	US
Telephone Number	:	972-677-3565
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 MARKET PLACE BLVD STE 140
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-8098
Country	:	US
Telephone Number	:	972-677-3565
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. RAJU RAGHUNATH
Credential	:	MD
Telephone Number	:	682-558-7788

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	04/16/2026

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