Provider Demographics
NPI:1497036123
Name:ADULT PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:ADULT PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-660-6580
Mailing Address - Street 1:3267 BEE CAVES RD
Mailing Address - Street 2:SUITE 107 #354
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6700
Mailing Address - Country:US
Mailing Address - Phone:512-660-6580
Mailing Address - Fax:
Practice Address - Street 1:3267 BEE CAVES RD
Practice Address - Street 2:SUITE 107 #354
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6700
Practice Address - Country:US
Practice Address - Phone:512-660-6580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB149265Medicare PIN