Provider Demographics
NPI:1639756943
Name:PREMIER PRIMARY CARE, PLLC
Entity Type:Organization
Organization Name:PREMIER PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-933-3087
Mailing Address - Street 1:5252 HOLLISTER ST STE 114
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6210
Mailing Address - Country:US
Mailing Address - Phone:832-933-3087
Mailing Address - Fax:888-815-1786
Practice Address - Street 1:5252 HOLLISTER ST STE 114
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6210
Practice Address - Country:US
Practice Address - Phone:832-933-3087
Practice Address - Fax:888-815-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty