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NPI Code Detail

MEDICARE: HYBRID PRIMARY CARE PC

MEDICARE: HYBRID PRIMARY CARE PC
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 : 1477340065
Entity Type Code : Organization
Provider Name (Legal Business Name) : HYBRID PRIMARY CARE PC
Provider Business Mailing Address
First Line : PO BOX 739553
Second Line :
City : DALLAS
State : TX
Zip : 75373-9553
Country : US
Telephone Number : 832-446-4412
Fax Number : 346-326-1854
Provider Business Practice Location Address
First Line : 13410 BRIAR FOREST DR STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77077-2393
Country : US
Telephone Number : 281-771-1144
Fax Number : 281-771-1146
Authorized Official
Title or Position : OWNER
Name : RAVI KALIDINDI
Credential : MD
Telephone Number : 281-771-1144
Provider Enumeration Date : 04/24/2025
Last Update Date : 12/10/2025

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Directions to “HYBRID PRIMARY CARE PC ” Practice Location

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