Provider Demographics
NPI:1487397451
Name:TEXAS PRIMARY CARE ASSOCIATES PLLC
Entity type:Organization
Organization Name:TEXAS PRIMARY CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-230-9811
Mailing Address - Street 1:705 E MARSHALL AVE STE 3001
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5610
Mailing Address - Country:US
Mailing Address - Phone:903-230-9811
Mailing Address - Fax:
Practice Address - Street 1:705 E MARSHALL AVE STE 3001
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5610
Practice Address - Country:US
Practice Address - Phone:903-230-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty