Provider Demographics
NPI:1043073083
Name:PINNACLE PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:PINNACLE PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-577-4936
Mailing Address - Street 1:7070 KNIGHTS CT STE 1801
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5551
Mailing Address - Country:US
Mailing Address - Phone:832-400-2613
Mailing Address - Fax:832-400-2614
Practice Address - Street 1:7070 KNIGHTS CT STE 1801
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5551
Practice Address - Country:US
Practice Address - Phone:832-400-2613
Practice Address - Fax:832-400-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty