Provider Demographics
NPI:1902025778
Name:PCA PRIMARY CARE ASSOCIATES PA
Entity Type:Organization
Organization Name:PCA PRIMARY CARE ASSOCIATES PA
Other - Org Name:PCA REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPY
Authorized Official - Phone:903-455-7538
Mailing Address - Street 1:4201 WELLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-4948
Mailing Address - Country:US
Mailing Address - Phone:903-455-7538
Mailing Address - Fax:903-455-7548
Practice Address - Street 1:4201 WELLINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-4948
Practice Address - Country:US
Practice Address - Phone:903-455-7548
Practice Address - Fax:903-455-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty