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 1376119164

Centerwell Senior Primary Care (Tx) PA is a Family Medicine Physician in Houston, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
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

3131 Emancipation Ave Ste 103
Houston, TX 77004-3110
Phone: (832) 357-0000
Fax: (877) 887-6036
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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
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1376119164
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-Emancipation; Centerwell Senior Primary Care-Emancipation
NPI enumeratedJune 2, 2021
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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