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General NPI Number Information
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NPI Number | 1164494068
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Entity Type | Organization
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Legal Business Name | PRIMAMED PHYSICIANS PLLC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 11888 MARSH LN STE 104
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City | DALLAS
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State | TX
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Zip | 75234-8083
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Country | US
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Telephone | 972-488-9222
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Fax | 972-488-0625
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Provider Business Mailing Address
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Address Line | 2145 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1546
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Country | US
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Telephone | 480-498-4058
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Fax | 480-776-0025
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. CHRIS KANE
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Credential |
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Telephone | 480-498-4058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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