Organization
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Other names
Partners in Primary Care KS, PA, Partners In Primary Care TX, PA, Partners in Primary Care-Gulfgate, CenterWell Senior Primary Care -Gulfgate, Partners in Primary Care TX PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
545 GULFGATE CENTER MALL, HOUSTON, TX 77087-3023
(281) 846-7209
(833) 845-2872
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4035966-01
—
TX
Enumeration date
02/13/2019
Last updated
10/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us