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Organization

NORTHSTAR PCP NETWORK, LLC

Active
Parent organization
NORTHSTAR PCP NETWORK, LP
Other names
PrimeCare MSO
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHSTAR PCP NETWORK, LP
Authorized official
ARLEY GONZALEZ SR. (CEO)
(713) 478-3313
Entity
Organization

Contact information

Practice address
2918 SAN JACINTO ST, SUITE 150, HOUSTON, TX 77004-2708
(734) 709-6477
Mailing address
4114 SABLEMIST CT, HOUSTON, TX 77014-2032
(713) 478-3313

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
06/17/2016
Last updated
06/17/2016
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