Provider Demographics
NPI:1154521227
Name:PRIMARY CARE PHYSICIANS OF TEXAS, PA
Entity type:Organization
Organization Name:PRIMARY CARE PHYSICIANS OF TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CURANOVIC
Authorized Official - Last Name:CURANOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-463-2001
Mailing Address - Street 1:1005 W RALPH HALL PKWY STE 137
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6691
Mailing Address - Country:US
Mailing Address - Phone:972-463-2001
Mailing Address - Fax:972-463-2003
Practice Address - Street 1:1005 W RALPH HALL PKWY STE 137
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6691
Practice Address - Country:US
Practice Address - Phone:972-463-2001
Practice Address - Fax:972-463-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166996201Medicaid
TXH50333Medicare UPIN
TX00673VMedicare PIN