Healthcare Provider Details

I. General information

NPI: 1477340065
Provider Name (Legal Business Name): HYBRID PRIMARY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13410 BRIAR FOREST DR STE 190
HOUSTON TX
77077-2393
US

IV. Provider business mailing address

PO BOX 739553
DALLAS TX
75373-9553
US

V. Phone/Fax

Practice location:
  • Phone: 281-771-1144
  • Fax: 281-771-1146
Mailing address:
  • Phone: 832-446-4412
  • Fax: 346-326-1854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAVI KALIDINDI
Title or Position: OWNER
Credential: MD
Phone: 281-771-1144