| Primary Care Specialists | |
|
415 Woodline Dr Spring TX 77386-1977 | |
| (281) 528-4100 | |
| (281) 528-4099 |
| Full Name | Primary Care Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 Woodline Dr, Spring, Texas |
| Authorized Official Name and Position | Abbas Haider Jafri (PRESIDENT) |
| Authorized Official Contact | 2815284100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists 415 Woodline Dr Spring TX 77386-1977 Ph: (281) 528-4100 | Primary Care Specialists 415 Woodline Dr Spring TX 77386-1977 Ph: (281) 528-4100 |
| NPI Number | 1023204328 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 4981792272 |
|---|---|
| Medicare Enrollment ID | O20071120000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023204328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L5387 (Texas) | Primary |
| Provider Name | Abbas H Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891798161 PECOS PAC ID: 9436246451 Enrollment ID: I20071107000318 |
| Provider Name | Janie L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831415777 PECOS PAC ID: 9335436245 Enrollment ID: I20160921000172 |
| Provider Name | Sara B Ellisor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518470830 PECOS PAC ID: 6406103613 Enrollment ID: I20180719000853 |
| Provider Name | Tracy R Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669968335 PECOS PAC ID: 8628316098 Enrollment ID: I20190208002559 |
| Provider Name | Brandi D Stull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322161 PECOS PAC ID: 2365780491 Enrollment ID: I20190214001292 |
| Provider Name | Dusty D Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508564329 PECOS PAC ID: 3375906563 Enrollment ID: I20230906001945 |
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