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NPI Code Detail

MEDICARE: YOUR PRIMARY CARE PLLC

MEDICARE: YOUR 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1861159246
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR PRIMARY CARE PLLC
Provider Business Mailing Address
First Line : 7070 KNIGHTS CT STE 1405
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5498
Country : US
Telephone Number : 346-447-6622
Fax Number :
Provider Business Practice Location Address
First Line : 7070 KNIGHTS CT STE 1405
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5498
Country : US
Telephone Number : 346-447-6622
Fax Number :
Authorized Official
Title or Position : CEO
Name : VINCENT K ALEXANDER
Credential :
Telephone Number : 346-447-6622
Provider Enumeration Date : 11/20/2021
Last Update Date : 01/03/2025

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Directions to “YOUR PRIMARY CARE PLLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.