Provider Demographics
NPI:1558480459
Name:PLAINVIEW PRIMARY CARE, P.A.
Entity Type:Organization
Organization Name:PLAINVIEW PRIMARY CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TURKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-296-7944
Mailing Address - Street 1:401 S WESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-0764
Mailing Address - Country:US
Mailing Address - Phone:806-296-7944
Mailing Address - Fax:806-296-7944
Practice Address - Street 1:2601 DIMMITT RD
Practice Address - Street 2:DIRECTOR OF EMERGENCY MEDICINE, #407
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1833
Practice Address - Country:US
Practice Address - Phone:806-296-7944
Practice Address - Fax:806-296-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U81HMedicare ID - Type Unspecified
TXF52176Medicare UPIN