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General NPI Number Information
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NPI Number | 1043902307
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Entity Type | Organization
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Legal Business Name | PRIMECARE FAMILY MEDICINE AND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 4420 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-9608
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Country | US
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Telephone | 908-251-3017
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Fax | 956-322-5492
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Provider Business Mailing Address
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Address Line | 4420 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-9608
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Country | US
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Telephone | 908-251-3017
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL ELANGWE
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Credential | MD
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Telephone | 956-663-1953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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