# PROSPECT PRIMARY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073378915
- **Authorized official:** MS. LORENA ELURI AGPCNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (945) 333-5481

## Contact information

- **Practice address:** 670 W ARAPAHO RD STE 4, RICHARDSON, TX 75080-4213
- **Practice address phone:** (945) 333-5481
- **Mailing address:** PO BOX 6564, MCKINNEY, TX 75071-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 02/20/2024