Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centerwell Senior Primary Care (Tx) PA

Organization Family Medicine Physician · NPI 1033741616

Centerwell Senior Primary Care (Tx) PA is a Family Medicine Physician in Houston, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9417 Mesa Dr Ste A
Houston, TX 77028-1253
Phone: (713) 848-7780
Fax: (833) 710-0641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1033741616
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Tx) PA
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care- Tidwell; Partners In Primary Care-Tidwell; Partners In Primary Care Tx, Pa; Partners In Primary Care Ks, Pa
NPI enumeratedFebruary 11, 2020
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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