Healthcare Provider Details

I. General information

NPI: 1083173652
Provider Name (Legal Business Name): PRIME CARE HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2019
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 WRIGHT ST STE A
ARLINGTON TX
76012-4759
US

IV. Provider business mailing address

13601 PRESTON RD STE 520
DALLAS TX
75240-4911
US

V. Phone/Fax

Practice location:
  • Phone: 214-613-2019
  • Fax: 214-617-0267
Mailing address:
  • Phone: 214-613-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOY E AGUWA
Title or Position: MANAGING MEMBER
Credential: PHARMD.
Phone: 817-897-7460