Provider Demographics
NPI:1134333560
Name:PRIMARY CARE AND GERIATRICS, P.A
Entity type:Organization
Organization Name:PRIMARY CARE AND GERIATRICS, P.A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAKHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NAMBIAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-536-9288
Mailing Address - Street 1:16031 MAYCREST CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8695
Mailing Address - Country:US
Mailing Address - Phone:281-536-9288
Mailing Address - Fax:
Practice Address - Street 1:16031 MAYCREST CT
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-8695
Practice Address - Country:US
Practice Address - Phone:281-536-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0535207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty