Organization
PRIMA MEDICAL GROUP PLLC
Active
Other names
Prima Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
IYABO OMIDIWURA (ENROLLMENT MANAGER)
(832) 554-6773
Entity
Organization
Contact information
Practice address
4800 SUGAR GROVE BLVD STE 250, STAFFORD, TX 77477-2639
(832) 554-6773
Mailing address
4800 SUGAR GROVE BLVD STE 250, STAFFORD, TX 77477-2639
(832) 554-6773
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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