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Organization
PRIMARY VISITING CLINICIANS PLLC
Active
Organization
PRIMARY VISITING CLINICIANS PLLC
Active
Other names
PVC Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAINABU KOROMA FNP (ADMINISTRATOR)
(972) 979-7408
Entity
Organization
Contact information
Practice address
3334 BROADWAY BLVD STE 422, GARLAND, TX 75043-1575
(972) 979-7408
(972) 587-6733
Mailing address
3334 BROADWAY BLVD STE 422, GARLAND, TX 75043-1575
(972) 979-7408
(972) 587-6733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5507
TX
363LF0000X
Family Nurse Practitioner
Primary
AP120628
TX
Other
Enumeration date
06/09/2015
Last updated
10/18/2021
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