Provider Demographics
NPI:1811207699
Name:ARTEMIS PRIMARY CARE, LLC
Entity Type:Organization
Organization Name:ARTEMIS PRIMARY CARE, LLC
Other - Org Name:ARTEMIS PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-4620
Mailing Address - Street 1:1524 DOHERTY AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4019
Mailing Address - Country:US
Mailing Address - Phone:956-583-4620
Mailing Address - Fax:956-583-4621
Practice Address - Street 1:1524 DOHERTY AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4019
Practice Address - Country:US
Practice Address - Phone:956-583-4620
Practice Address - Fax:956-583-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health