Provider Demographics
NPI:1265747430
Name:PRIMUS, JANEL LARIE (PA-C)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:LARIE
Last Name:PRIMUS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6160 WINDHAVEN PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-473-2700
Mailing Address - Fax:972-473-9800
Practice Address - Street 1:6160 WINDHAVEN PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8099
Practice Address - Country:US
Practice Address - Phone:972-378-6908
Practice Address - Fax:972-378-6586
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical