Provider Demographics
NPI:1376309294
Name:MY PRIMARY CARE CLINIC ABILENE, PLLC
Entity Type:Organization
Organization Name:MY PRIMARY CARE CLINIC ABILENE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNEI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:254-424-3260
Mailing Address - Street 1:4438 S CLACK ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3634
Mailing Address - Country:US
Mailing Address - Phone:325-704-4470
Mailing Address - Fax:
Practice Address - Street 1:3347 S 2ND ST STE 100
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-1760
Practice Address - Country:US
Practice Address - Phone:254-424-3260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care