Prime MD Geriatrics, PLLC
Prime MD Geriatrics, PLLC is a Geriatric Medicine (Internal Medicine) Physician in Coppell, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
452 State Highway 121 Unit 130Coppell, TX 75019-4275
Phone: (972) 393-1699
Fax: (972) 393-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X |
|---|
Record details
| NPI number | 1487156139 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Divyaswapnika Javvaji — Manager · (972) 393-1699 |
| NPI enumerated | March 7, 2018 |
| Last updated in NPPES | June 7, 2024 |
| Certification date | June 7, 2024 |
| Mailing address | 452 State Highway 121 Unit 130, Coppell, TX 75019-4275 |
Other providers in Coppell
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Divyaswapnika Javvaji, MD
452 State Highway 121 Unit 130, Coppell, TX 75019-4275 · (972) 393-1699