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NPI Code Detail

MEDICARE: AMERICAN PREVENTIVE & PRIMARY CARE PLLC

MEDICARE: AMERICAN PREVENTIVE & PRIMARY CARE 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
12083P0901XPublic Health & General Preventive Medicine Physician

General Provider Information

NPI Number : 1194670505
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN PREVENTIVE & PRIMARY CARE PLLC
Provider Business Mailing Address
First Line : 3311 YUCCA DR STE 100
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2743
Country : US
Telephone Number : 469-930-4655
Fax Number :
Provider Business Practice Location Address
First Line : 3311 YUCCA DR STE 100
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2743
Country : US
Telephone Number : 469-930-4655
Fax Number :
Authorized Official
Title or Position : CEO
Name : IRENE LAZARUS
Credential : MD MPH
Telephone Number : 817-300-6221
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “AMERICAN PREVENTIVE & PRIMARY CARE PLLC ” Practice Location

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