Provider Demographics
NPI:1336847839
Name:PRIMO CLINICIANS PLLC
Entity Type:Organization
Organization Name:PRIMO CLINICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LUGI
Authorized Official - Last Name:BLASINI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-400-6930
Mailing Address - Street 1:18911 HARDY OAK BLVD. STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-400-6930
Mailing Address - Fax:210-475-3361
Practice Address - Street 1:18911 HARDY OAK BLVD. STE 213
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-400-6930
Practice Address - Fax:210-475-3361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitationGroup - Multi-Specialty
No163WX0106XNursing Service ProvidersRegistered NurseOccupational HealthGroup - Multi-Specialty