Organization
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Active
Organization
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Active
Other names
Partners in Primary Care TX , PA, CenterWell Senior Primary Care -Sunnyside, Partners in Primary Care- Sunnyside, Partners in Primary Care KS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
9609 CULLEN BOULEVARD, HOUSTON, TX 77051-3324
(713) 848-8120
(833) 617-2471
Mailing address
4700 MILLENIA BLVD STE 650, ORLANDO, FL 32839-6013
(407) 447-7120
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/06/2020
Last updated
10/18/2022
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