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NPI Code Detail

MEDICARE: PRIMARY CARE MEDICAL PARTNERS, PA

MEDICARE: PRIMARY CARE MEDICAL PARTNERS, PA
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1700476843
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY CARE MEDICAL PARTNERS, PA
Provider Business Mailing Address
First Line : 1550 N ZARAGOZA RD STE 107
Second Line :
City : EL PASO
State : TX
Zip : 79936-7905
Country : US
Telephone Number : 915-500-1100
Fax Number : 855-583-3681
Provider Business Practice Location Address
First Line : 1550 N ZARAGOZA RD STE 107
Second Line :
City : EL PASO
State : TX
Zip : 79936-7905
Country : US
Telephone Number : 915-845-7300
Fax Number : 915-207-2143
Authorized Official
Title or Position : OWNER
Name : MARTHA YURIRIAN MONTANEZ
Credential : MD
Telephone Number : 915-500-1100
Provider Enumeration Date : 01/22/2021
Last Update Date : 12/30/2024

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1437292463 — DR. BRADLEY ORR ROBERTS DMD
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Practice Location Address:
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1184896078 — RICHARD C BLACK DDS
Practice Location Address:
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Directions to “PRIMARY CARE MEDICAL PARTNERS, PA ” Practice Location

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