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

Centerwell Senior Primary Care (Tx) PA

Organization Family Medicine Physician · NPI 1043964653

Centerwell Senior Primary Care (Tx) PA is a Family Medicine Physician in Dallas, Texas. Registered with an NPI since 2022.

In the registry since
2022
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

3209 W Camp Wisdom Rd
Dallas, TX 75237-2605
Phone: (469) 966-9660
Fax: (877) 667-6112
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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 number1043964653
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- Redbird; Centerwell Senior Primary Care- Redbird
NPI enumeratedFebruary 11, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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