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

Prima Medical Group PLLC

Organization General Practice Physician · NPI 1801787817

Prima Medical Group PLLC is a General Practice Physician in Stafford, Texas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4800 Sugar Grove Blvd Ste 250
Stafford, TX 77477-2639
Phone: (832) 554-6773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1801787817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iyabo Omidiwura — Enrollment Manager · (832) 554-6773
Other names Prima Medical Group
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address4800 Sugar Grove Blvd Ste 250, Stafford, TX 77477-2639

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