| NPI | 1134579303 |
|---|---|
| Doing Business As | PRIMECARE MSO |
| Entity Type | Organization |
| Authorized Contact | ARLEY GONZALEZ CEO 713-478-3313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |