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Organization
PRIMEFORT HEALTH LLC
Active
Organization
PRIMEFORT HEALTH LLC
Active
Parent organization
PRIMEFORT HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMEFORT HEALTH LLC
Authorized official
OPEYEMI ABIODUN AWE M.D. (DIRECTOR)
(908) 220-4142
Entity
Organization
Contact information
Practice address
2710 HOSPITAL DRIVE, SUITE 114, VICTORIA, TX 77901-5701
(908) 220-4142
(866) 777-8553
Mailing address
PO BOX 1879, VICTORIA, TX 77902-1879
(908) 220-4142
(866) 777-8553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q7009
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Q7009
TX
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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