Provider Demographics
NPI:1275018608
Name:PR MEDCARE PLLC
Entity Type:Organization
Organization Name:PR MEDCARE PLLC
Other - Org Name:NEST FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:RANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-851-5633
Mailing Address - Street 1:4920 MCDERMOTT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7769
Mailing Address - Country:US
Mailing Address - Phone:972-200-5666
Mailing Address - Fax:469-250-5460
Practice Address - Street 1:4920 MCDERMOTT RD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7769
Practice Address - Country:US
Practice Address - Phone:972-200-5666
Practice Address - Fax:469-250-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty