PRIME CARE HEALTH SOLUTIONS LLC (NPI# 1083173652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083173652 |
| Entity Type | Organization |
| Organization Name | PRIME CARE HEALTH SOLUTIONS LLC |
| Other Organization Name | PRIME CARE HEALTH SOLUTIONS LLC |
| Practice Address |
13601 Preston Rd Ste 520 Dallas TX 75240-4911 |
| Practice Telephone | 2146132019 |
| Mailing Telephone | 2146132019 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | DR. JOY E AGUWA (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2146132019 |
| Authorized Official Credential | PHARMD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 399977301 | 05 |
| Other Name | Type Code |
|---|---|
| Prime Care Health Solutions LLC | Doing Business As Name - Organization |
| Street Address |
13601 PRESTON RD STE 520 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1407408255 | Singularity Medical Group Pllc | Clinic/Center | 1919 Mckinney Ave # 2085, Dallas, TX 75201-1753 | 2019-07-11 |
| 1982982195 | Lonestar Housecall Physicians Pllc | Clinic/Center | 8150 Brookriver Dr Ste 303, Dallas, TX 75247-4055 | 2011-07-22 |
| 1508162033 | Delphi Health Partners, Inc. | Clinic/Center | 2911 Turtle Creek Blvd Ste 300, Dallas, TX 75219-6243 | 2011-01-31 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1487280327 | Radishing Recovery Nutrition Counseling | Clinic/Center | 9535 Forest Ln, Dallas, TX 75243-5900 | 2020-03-22 |
| 1487144051 | Occupational Health Center of The Southwest | Clinic/Center | 1450 Empire Central Dr Ste 100, Dallas, TX 75247-4081 | 2018-05-18 |
| 1952762460 | Sls Therapy, Pllc | Clinic/Center | 9026 Longmont Dr, Dallas, TX 75238-3540 | 2016-03-10 |
| 1780057745 | Mental Edge LLC | Clinic/Center | 8722 Greenville Ave, Suite 102, Dallas, TX 75243-7167 | 2015-11-12 |
| 1558742924 | Hampton Medical Clinic Management LLC | Clinic/Center | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2015-06-11 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.