Provider Demographics
NPI:1245536473
Name:PARAMOUNT PRIMARY HEALTH CARE SERVICES, LLC
Entity type:Organization
Organization Name:PARAMOUNT PRIMARY HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-345-4268
Mailing Address - Street 1:550 N MAIN ST STE 207C
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3660
Mailing Address - Country:US
Mailing Address - Phone:817-909-6874
Mailing Address - Fax:817-303-3373
Practice Address - Street 1:550 N MAIN ST STE 207C
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3660
Practice Address - Country:US
Practice Address - Phone:817-909-6874
Practice Address - Fax:817-303-3373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-05
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LA2200X
TX69208363LG0600X
TX692038363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty