| Primecare Direct Llc | |
|
955 Pierremont Rd Ste 400 Shreveport LA 71106-2096 | |
| (318) 562-3868 | |
| (318) 409-1565 |
| Full Name | Primecare Direct Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 955 Pierremont Rd Ste 400, Shreveport, Louisiana |
| Authorized Official Name and Position | Tri Pham (OWNER) |
| Authorized Official Contact | 3186176708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Direct Llc 955 Pierremont Rd Ste 400 Shreveport LA 71106-2096 Ph: (318) 562-3868 | Primecare Direct Llc 955 Pierremont Rd Ste 400 Shreveport LA 71106-2096 Ph: (318) 562-3868 |
| NPI Number | 1538057567 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538057567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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