MEDICARE: PRIMAMED PHYSICIANS 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1164494068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMAMED PHYSICIANS PLLC

Provider Business Mailing Address
First Line	:	2145 E BASELINE RD STE 101
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1546
Country	:	US
Telephone Number	:	480-498-4058
Fax Number	:	480-776-0025

Provider Business Practice Location Address
First Line	:	4122 LYNDON B JOHNSON FWY STE 130
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5712
Country	:	US
Telephone Number	:	972-488-9222
Fax Number	:	972-488-0625

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. CHRIS KANE
Credential	:
Telephone Number	:	480-498-4058

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	12/10/2025

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