| Primal Medical Management, LLC | |
|
911 E Mcdonald Dr Pilot Point TX 76258-2948 | |
| (917) 250-0068 | |
| Not Available |
| Full Name | Primal Medical Management, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 911 E Mcdonald Dr, Pilot Point, Texas |
| Authorized Official Name and Position | Miles Clark (COO) |
| Authorized Official Contact | 9172500068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Medical Management, LLC 911 E Mcdonald Dr Pilot Point TX 76258-2948 | Primal Medical Management, LLC 911 E Mcdonald Dr Pilot Point TX 76258-2948 Ph: (917) 250-0068 |
| NPI Number | 1457196560 |
|---|---|
| Provider Enumeration Date | 06/29/2024 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457196560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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