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Organization
SOUTHWEST PRIMARY CARE PA
Active
Organization
SOUTHWEST PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIREN N SHAH MD (PRESIDENT)
(281) 980-2233
Entity
Organization
Contact information
Practice address
1235 LAKE POINTE PKWY STE 101, SUGAR LAND, TX 77478-4077
(281) 980-2233
(281) 980-2220
Mailing address
1235 LAKE POINTE PKWY STE 101, SUGAR LAND, TX 77478-4077
(281) 980-2233
(281) 980-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082HW
BCBS GROUP PROVIDER NUMBE
TX
05
—
165424601
—
TX
Enumeration date
05/31/2007
Last updated
11/14/2024
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