| Primum Medical | |
|
207 S Fm 548 Ste A Forney TX 75126-4107 | |
| (945) 536-9444 | |
| Not Available |
| Full Name | Primum Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 207 S Fm 548 Ste A, Forney, Texas |
| Authorized Official Name and Position | Jense Benjamin (PRESIDENT) |
| Authorized Official Contact | 9455369444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primum Medical 207 S Fm 548 Ste A Forney TX 75126-4107 Ph: (945) 536-9444 | Primum Medical 207 S Fm 548 Ste A Forney TX 75126-4107 Ph: (945) 536-9444 |
| NPI Number | 1689466880 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Medicare PECOS PAC ID | 1456865005 |
|---|---|
| Medicare Enrollment ID | O20250708000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689466880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jense Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205943263 PECOS PAC ID: 6103809900 Enrollment ID: I20040611000854 |
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