Provider Demographics
NPI:1477340065
Name:HYBRID PRIMARY CARE PC
Entity type:Organization
Organization Name:HYBRID PRIMARY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIDINDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-771-1144
Mailing Address - Street 1:312 MARTINIQUE PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5314
Mailing Address - Country:US
Mailing Address - Phone:469-435-6648
Mailing Address - Fax:
Practice Address - Street 1:13410 BRIAR FOREST DR STE 190
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2393
Practice Address - Country:US
Practice Address - Phone:281-771-1144
Practice Address - Fax:281-771-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty