Provider Demographics
NPI:1760001796
Name:VALID PRIMARY CARE SERVICES,LLC
Entity Type:Organization
Organization Name:VALID PRIMARY CARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-831-0189
Mailing Address - Street 1:2600 S LOOP W STE 692
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2644
Mailing Address - Country:US
Mailing Address - Phone:832-831-0189
Mailing Address - Fax:346-335-8150
Practice Address - Street 1:2600 S LOOP W STE 692
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2644
Practice Address - Country:US
Practice Address - Phone:713-496-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health