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Organization
TEXAS PRIMARY CARE GROUP PLLC
Active
Organization
TEXAS PRIMARY CARE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LAWSON APRN (DIRECTOR OF CLINICAL SERVICES)
(813) 549-2134
Entity
Organization
Contact information
Practice address
1717 PRECINCT LINE RD, SUITE 200, HURST, TX 76054-3169
(817) 369-3990
(817) 514-1901
Mailing address
4730 N HABANA AVE, SUITE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 870-1383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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