Healthcare Provider Details

I. General information

NPI: 1629083530
Provider Name (Legal Business Name): PRIMARY NURSE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 HOSPITAL DR STE 103
ABILENE TX
79606-5270
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 325-677-7514
  • Fax:
Mailing address:
  • Phone: 903-537-8656
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number003777
License Number StateTX

VIII. Authorized Official

Name: DEBRA MILLER
Title or Position: VICE PRESIDENT OF REGULATORY
Credential:
Phone: 903-537-8656