MEDICARE: DIRECT CARE PARTNERS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1164289302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT CARE PARTNERS, PLLC

Provider Business Mailing Address
First Line	:	539 W COMMERCE ST # 1180
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1953
Country	:	US
Telephone Number	:	888-271-4608
Fax Number	:	800-662-1774

Provider Business Practice Location Address
First Line	:	3421 BUNNY RUN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-1746
Country	:	US
Telephone Number	:	888-271-4608
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KEVIN MARSHALL PEARCE
Credential	:
Telephone Number	:	214-232-9870

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	06/17/2026

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