MEDICARE: PRIMEAURA LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1356284723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMEAURA LLC

Provider Business Mailing Address
First Line	:	3910 OLD DENTON RD APT 1307
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-1012
Country	:	US
Telephone Number	:	479-262-0967
Fax Number	:

Provider Business Practice Location Address
First Line	:	3910 OLD DENTON RD APT 1307
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-1012
Country	:	US
Telephone Number	:	479-262-0967
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SYED A MOTAHIR
Credential	:
Telephone Number	:	479-262-0967

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “PRIMEAURA LLC ” Practice Location

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