Provider Demographics
NPI:1699657114
Name:PRIORITY TOTAL CARE, LLC
Entity type:Organization
Organization Name:PRIORITY TOTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER BILLING CREDENTIALS
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-972-4856
Mailing Address - Street 1:151 RVG PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5241
Mailing Address - Country:US
Mailing Address - Phone:972-972-4856
Mailing Address - Fax:888-339-3357
Practice Address - Street 1:151 RVG PKWY STE 103
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5241
Practice Address - Country:US
Practice Address - Phone:972-972-4856
Practice Address - Fax:888-339-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty