# AIC PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AFFINITY IMMEDIATE CARE-LAMARQUE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649616251
- **Authorized official:** MEGAN JEFFERSON (HR GENERALIST/ CREDENTIALING)
- **Authorized official phone:** (281) 886-8964

## Contact information

- **Practice address:** 2600 FM 1764 SUITE 190, LA MARQUE, TX 77568
- **Practice address phone:** (281) 886-8964
- **Mailing address:** 2600 FM 1764 SUITE 190, LA MARQUE, TX 77568
- **Mailing address phone:** (281) 886-8964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L9314 | TX | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 04/28/2016