| NPI | 1801787817 |
|---|---|
| Former Legal Business Name | PRIMA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | IYABO OMIDIWURA Enrollment Manager 832-554-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |