Healthcare Provider Details

I. General information

NPI: 1609802719
Provider Name (Legal Business Name): PRIMARY HEALTH INC DBA CARENOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E STATE HIGHWAY 121 STE 600
COPPELL TX
75019-3860
US

IV. Provider business mailing address

645 E STATE HIGHWAY 121 STE 600
COPPELL TX
75019-3860
US

V. Phone/Fax

Practice location:
  • Phone: 972-745-7500
  • Fax: 972-471-0700
Mailing address:
  • Phone: 972-745-7500
  • Fax: 972-471-0700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RHONDA MCKINNEY
Title or Position: MGR
Credential:
Phone: 972-745-7500