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 1255056727

Centerwell Senior Primary Care (Tx) PA is a Family Medicine Physician in Grand Prairie, 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

725 W Pioneer Pkwy
Grand Prairie, TX 75051-4849
Phone: (945) 899-0770
Fax: (877) 694-3502
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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 number1255056727
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Tx) PA
Authorized official Angie Martinez — Senior Credentialing Specialist · (407) 447-7120
Other names Centerwell Senior Primary Care- Grand Prairie; Centerwell Senior Primary Care- Grand Prairie
NPI enumeratedOctober 7, 2022
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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