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

Primary MD PLLC

Organization Nurse Practitioner · NPI 1821692518

Primary MD PLLC is a Nurse Practitioner in Plano, Texas. Registered with an NPI since 2020.

In the registry since
2020
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

2755 W 15th St
Plano, TX 75075-7525
Phone: (469) 642-4345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1821692518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Tanjuakio — Owner · (469) 642-4345
NPI enumeratedNovember 24, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing address10605 Lansdowne Ln, Rowlett, TX 75089-8388

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