MEDICARE: PRIMARY GENERAL ENTERPRISES

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	171R00000X	Interpreter
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1891259867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY GENERAL ENTERPRISES

Provider Business Mailing Address
First Line	:	PO BOX 971
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78680-0971
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	797 SAM BASS RD UNIT 971
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78680-2640
Country	:	US
Telephone Number	:	512-522-1574
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIR
Name	:	ABIGANI HUSSEIN
Credential	:
Telephone Number	:	512-522-1574

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	01/24/2019

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Directions to “PRIMARY GENERAL ENTERPRISES ” Practice Location

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