MEDICARE: PRIMARY CARE CONSULTANTS 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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770774788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE CONSULTANTS PA

Provider Business Mailing Address
First Line	:	15702 AZALEA SHORES DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3873
Country	:	US
Telephone Number	:	281-957-5770
Fax Number	:	281-880-6684

Provider Business Practice Location Address
First Line	:	1125 CYPRESS STATION DR STE F1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3055
Country	:	US
Telephone Number	:	281-957-5770
Fax Number	:	281-880-6684

Authorized Official
Title or Position	:	OWNER
Name	:	NAILA RAMIZ
Credential	:	MD
Telephone Number	:	281-957-5770

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	02/19/2018

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Practice Location Address:

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1902001159 — DPM ALLIANCE HOSPICE AGENCY, LLC
Practice Location Address:

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Directions to “PRIMARY CARE CONSULTANTS PA ” Practice Location

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