Provider Demographics
NPI:1407576085
Name:PRIMARY CARE CENTER OF NORTH TEXAS PLLC
Entity Type:Organization
Organization Name:PRIMARY CARE CENTER OF NORTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGHMAIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-658-3648
Mailing Address - Street 1:1801 HIGHVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3943
Mailing Address - Country:US
Mailing Address - Phone:972-658-3648
Mailing Address - Fax:
Practice Address - Street 1:1801 HIGHVIEW CT
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-3943
Practice Address - Country:US
Practice Address - Phone:972-658-3648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty