Provider Demographics
NPI:1679173314
Name:PRIMARY CARE CLINICS US PLLC
Entity Type:Organization
Organization Name:PRIMARY CARE CLINICS US PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VENKATARAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALABINDALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-212-2631
Mailing Address - Street 1:5750 DOMER DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0772
Mailing Address - Country:US
Mailing Address - Phone:708-212-2631
Mailing Address - Fax:
Practice Address - Street 1:6448 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5943
Practice Address - Country:US
Practice Address - Phone:425-748-4999
Practice Address - Fax:708-312-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty