Provider Demographics
NPI:1891213633
Name:PRIME PHYSICIANS PA
Entity type:Organization
Organization Name:PRIME PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NHI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-604-9944
Mailing Address - Street 1:3648 CYPRESS CREEK PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3609
Mailing Address - Country:US
Mailing Address - Phone:832-604-9944
Mailing Address - Fax:713-424-4899
Practice Address - Street 1:3648 CYPRESS CREEK PKWY STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3609
Practice Address - Country:US
Practice Address - Phone:832-604-9944
Practice Address - Fax:713-424-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty