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 1396441481

Centerwell Senior Primary Care Tx PA is a Family Medicine Physician in Richardson, Texas. Registered with an NPI since 2023.

In the registry since
2023
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

1332 S Plano Rd Ste 550
Richardson, TX 75081-5956
Phone: (972) 619-3988
Fax: (877) 690-5763
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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 number1396441481
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-Richardson; Centerwell Senior Primary Care-Richardson
NPI enumeratedFebruary 1, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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