Provider Demographics
NPI:1639319494
Name:PRIMARY CARE SOLUTIONS L.L.C.
Entity Type:Organization
Organization Name:PRIMARY CARE SOLUTIONS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-948-9810
Mailing Address - Street 1:4056 OLD GENTILLY RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4813
Mailing Address - Country:US
Mailing Address - Phone:504-948-9810
Mailing Address - Fax:504-948-9810
Practice Address - Street 1:4056 OLD GENTILLY RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4813
Practice Address - Country:US
Practice Address - Phone:504-948-9810
Practice Address - Fax:504-948-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center