Organization
PRIMARY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER M TANJUAKIO (OWNER)
(469) 642-4345
Entity
Organization
Contact information
Practice address
2755 W 15TH ST, PLANO, TX 75075-7525
(469) 642-4345
Mailing address
10605 LANSDOWNE LN, ROWLETT, TX 75089-8388
(469) 642-4345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
12/01/2020
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